Irmo Kids Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IRMO KIDS DENTAL LLC

Practice address

1407 Lake Murray Blvd
Columbia, SC 29212-8628

Phone

(803) 764-2013

NPI assigned

Jun 9, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Santana Jones

Title

Owner

Phone

(803) 764-2013

Specialties & licenses 1

Addresses

Tax ID family

Irmo Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Irmo Kids Dental LLC

  • Dental Clinic/Center
  • Irmo, SC
  • NPI 1629870407
  NPD tax ID

Locations

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1306405857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128628",
            "telephone_number": "803-764-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128628",
            "telephone_number": "803-764-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRMO KIDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-09",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SANTANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-764-2013",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Elisabeth Iriza, D.O.
• Eduardo F Irizarry, MD
• Morgan Giles Irizarry
• Irmo Eye Center
• Irmo Family Pharmacy LLC
• Irmo Medical Center
• Irmo Medical Group
• Eve Laraine Irvin
• Ginger Lynne Irvin, M.D.
• Anita Bernae Isaac, LPC-A

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.