Carnes Crossroads Dental P.a

Primary specialty

DentistTaxonomy code 122300000X

License

8129 Issued in SC

Legal business name

CARNES CROSSROADS DENTAL P.A

Practice address

3751 S Live Oak Dr
Suite G
Moncks Corner, SC 29461-7903

Phone

(843) 761-7380

Fax

(843) 761-7385

NPI assigned

Mar 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Donald Walker, D.D.S.NPI 1356605190

Title

President/Ceo

Phone

(330) 323-1986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Douglas Donald Walker, D.D.S.

  • Dentist
  • Charleston, SC
  • NPI 1356605190
  NPD (past) Authorized official

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1316363047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 S LIVE OAK DR",
            "address_2": "SUITE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294617903",
            "telephone_number": "843-761-7380",
            "fax_number": "843-761-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S LIVE OAK DR",
            "address_2": "SUITE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294617903",
            "telephone_number": "843-761-7380",
            "fax_number": "843-761-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNES CROSSROADS DENTAL P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-323-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly C Campbell
• Christine Canivan, MD
• Anna Elizabeth Cardenas
• Melissa Jean Cardwell, APRN
• Carnes Crossroads Dental Arts P.a.
• Carolina Avenue Dental
• Carolina Eyecare Physicians LLC
• Mary W Carruthers, MD
• Parvati Case
• Leah Brianne Cassella, R.D., L.D.N.

• Dentist in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.