Individual provider Active NPI

Walter Fingar, DMD

  • Dentist
  • Hardeeville, SC
National Provider Identifier
1316140478
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2861 Issued in SC
Practice address
247 Mead Rd
B
Hardeeville, SC 29927-4427
Phone
(843) 816-6655
NPI assigned
Jun 7, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2861 SC Primary

Addresses

Primary practice location

247 Mead Rd
B
Hardeeville, SC 29927-4427

Mailing address

247 B Mead Rd
Hilton Head, SC 29926-1842
Phone (843) 207-2270

Other identifiers 1

IdentifierTypeStateIssuer
ZX2861MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603001373 SC Order and Referring Only - DentistPractitioner - Dentist 8628368651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2861SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New River Dental, PA Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1316140478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 B MEAD RD",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299261842",
            "telephone_number": "843-207-2270",
            "fax_number": "843-208-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 MEAD RD",
            "address_2": "B",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274427",
            "telephone_number": "843-816-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINGAR",
        "first_name": "WALTER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX2861",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.