Individual provider Active NPI

Macy D Poaps, DMD

  • Dentist
  • Hartsville, SC
National Provider Identifier
1295258622
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8980 Issued in SC
Practice address
214 W Home Ave
Hartsville, SC 29550-4126
Phone
(843) 332-1331
Fax
(843) 857-9359
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8980 SC Primary

Addresses

Primary practice location

214 W Home Ave
Hartsville, SC 29550-4126

Mailing address

214 W Home Ave
Hartsville, SC 29550-4126
Phone (843) 332-1331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8980SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295258622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W HOME AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504126",
            "telephone_number": "843-332-1331",
            "fax_number": "843-857-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W HOME AVE",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295504126",
            "telephone_number": "843-332-1331",
            "fax_number": "843-857-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POAPS",
        "first_name": "MACY",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.