Active NPI
Amanda Marie Barrett, DMD
- General Practice Dentistry
- Mount Pleasant, SC
National Provider Identifier
1316529340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.10115.GD
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211020000411 | NC | Order and Referring Only - Dentist | 0941602460 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10115.GD | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professional of South Carolina, P.C. | General Practice | Current | 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.
-
dba Dental Care at Winnowing Way
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1619517463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.