Individual provider Active NPI

Amanda Marie Barrett, DMD

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1316529340
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD.10115.GD Issued in SC
Practice address
1135 Muhlenbergia Dr Ste 101
Mount Pleasant, SC 29466-8405
Phone
(843) 654-1082
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DGD.10115.GD SC Primary

Addresses

Primary practice location

1135 Muhlenbergia Dr Ste 101
Mount Pleasant, SC 29466-8405

Mailing address

1485 Putnam Dr
Charleston, SC 29412-8255
Phone (843) 446-2234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20211020000411 NC Order and Referring Only - DentistPractitioner - Dentist 0941602460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DGD.10115.GDSCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Professional of South Carolina, P.C. General Practice CurrentSince Jun 26, 2022 Accepting new patients

Locations

1135 Muhlenbergia Dr
Ste 101
Mt Pleasant, SC 29466
Phone (843) 654-1082

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1316529340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 PUTNAM DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294128255",
            "telephone_number": "843-446-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MUHLENBERGIA DR STE 101",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668405",
            "telephone_number": "843-654-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10115.GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.