Organization Active NPI

Design Dentistry LLC

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1306362579
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DESIGN DENTISTRY LLC
Practice address
126 Professional Park Road
Columbia, SC 29229
Phone
(803) 667-3919
Fax
(803) 788-6147
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Isaiah Lowell Davis Jr., DMDNPI 1629331384
Title
Dentist
Phone
(803) 667-3919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

126 Professional Park Road
Columbia, SC 29229

Mailing address

126 Professional Park Road
Columbia, SC 29229
Phone (803) 667-3919

Other names 1

  • DESIGN DENTISTRY BY DAVIS & DINGLE Other name

National Provider Directory

National Provider Directory

Locations

126 Professional Park Rd
Columbia, SC 29229
Phone (803) 667-3919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1306362579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PROFESSIONAL PARK ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-667-3919",
            "fax_number": "803-788-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PROFESSIONAL PARK ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29229",
            "telephone_number": "803-667-3919",
            "fax_number": "803-788-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIGN DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "LOWELL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-667-3919",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DESIGN DENTISTRY BY DAVIS & DINGLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.