Organization Active NPI

Lowcountry Kids Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1295242253
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4608 Issued in SC
Legal business name
LOWCOUNTRY KIDS PEDIATRIC DENTISTRY, LLC
Practice address
652 Coleman Blvd Ste 100
Mount Pleasant, SC 29464-4061
Phone
(843) 800-0361
Fax
(843) 284-3915
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Dr. Laura F Shapiro, D.M.D.
Title
Owner/Pediatric Dentist
Phone
(843) 800-0361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4608 SC Primary

Addresses

Primary practice location

652 Coleman Blvd Ste 100
Mount Pleasant, SC 29464-4061

Mailing address

652 Coleman Blvd Ste 100
Mount Pleasant, SC 29464-4061
Phone (843) 800-0361

National Provider Directory

National Provider Directory

Locations

652 Coleman Blvd
Ste 100
Mount Pleasant, SC 29464
Phone (843) 800-0361

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1295242253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 COLEMAN BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644061",
            "telephone_number": "843-800-0361",
            "fax_number": "843-284-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 COLEMAN BLVD STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644061",
            "telephone_number": "843-800-0361",
            "fax_number": "843-284-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY KIDS PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "843-800-0361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "4608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.