Allyson Varn Monferdini, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3954 Issued in SC

Practice address

25 Ward Road
Lugoff, SC 29078

Phone

(803) 438-1845

Fax

(803) 438-6292

NPI assigned

Dec 29, 2006

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wateree Family Dentistry

  • Dental Clinic/Center
  • Lugoff, SC
  • NPI 1437966546
  NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1326104837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "290780325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WARD ROAD",
            "city": "LUGOFF",
            "state": "SC",
            "postal_code": "29078",
            "telephone_number": "803-438-1845",
            "fax_number": "803-438-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFERDINI",
        "first_name": "ALLYSON",
        "middle_name": "VARN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3954",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority (MUSC Health at Home Kershaw)
• Medical University Hospital Authority (MUSC Health Hospice Kershaw)
• Sonja L Middleton, LISW-CP
• Amelia Milejczak, PHARMD
• Christina Miller
• Courtney Rampey Morris, RN
• Julie Ann Mullins, D.O.
• Stephanie Alexandria Nelson
• Denielle Marie Nesbitt, MS, LPC
• Matthew Allen Nettles, D.M.D.

• General Practice Dentistry in Lugoff, SC
• Providers in Lugoff, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.

Verify at the official NPI Registry.