Organization Active NPI

Rivers Avenue Dental Health Center

Doing business as Happy Teeth Dentistry

  • General Practice Dentistry
  • North Charleston, SC
National Provider Identifier
1295134419
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2464 Issued in SC
Legal business name
RIVERS AVENUE DENTAL HEALTH CENTER
Doing business as
Happy Teeth Dentistry
Practice address
6035 Rivers Ave Ste a
North Charleston, SC 29406-5018
Phone
(843) 572-9909
NPI assigned
Aug 14, 2014
Last updated
Aug 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dan Spears
Title
Owner/President
Phone
(843) 572-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2464 SC Primary

Addresses

Primary practice location

6035 Rivers Ave Ste a
North Charleston, SC 29406-5018

Mailing address

6035 Rivers Ave Ste a
North Charleston, SC 29406-5018
Phone (843) 572-9909

Other names 1

  • Happy Teeth Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6035 Rivers Ave
Ste A
North Charleston, SC 29406
Phone (843) 572-9909

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1295134419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294065018",
            "telephone_number": "843-572-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 RIVERS AVE STE A",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294065018",
            "telephone_number": "843-572-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS AVENUE DENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-572-9909"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Teeth Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.