Organization Active NPI

Smiles by Design, PA

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1316092653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3909 Issued in SC
Legal business name
SMILES BY DESIGN, PA
Practice address
1096 Assembly Dr
Suite 216
Fort Mill, SC 29708-6447
Phone
(803) 548-4899
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brianna Schraw, D.M.DNPI 1396848867
Title
President
Phone
(803) 548-4899

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 Dentistry 1223G0001X 3909 SC Primary

Addresses

Primary practice location

1096 Assembly Dr
Suite 216
Fort Mill, SC 29708-6447

Mailing address

1096 Assembly Dr
Suite 216
Fort Mill, SC 29708-6447
Phone (803) 548-4899

Other identifiers 1

IdentifierTypeStateIssuer
929497MedicaidSC

National Provider Directory

National Provider Directory

Locations

1096 Assembly Dr
Ste 216
Fort Mill, SC 29708
Phone (803) 548-4899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316092653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1096 ASSEMBLY DR",
            "address_2": "SUITE 216",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086447",
            "telephone_number": "803-548-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1096 ASSEMBLY DR",
            "address_2": "SUITE 216",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086447",
            "telephone_number": "803-548-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY DESIGN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHRAW",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-548-4899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "929497",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.