Active NPI
Edith M. Gore, DMD
- General Practice Dentistry
- Chapin, SC
National Provider Identifier
1326227737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- SC3805
- Practice address
- 137 Amicks Ferry Rd.
Chapin, SC 29036 - Phone
- (803) 345-5811
- Fax
- (803) 345-5814
- NPI assigned
- Nov 1, 2007
- Last updated
- Nov 1, 2007
- 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 | SC3805 | SC | Primary |
Addresses
Primary practice location
137 Amicks Ferry Rd.
Chapin, SC 29036
Mailing address
137 Amicks Ferry Rd.
Chapin, SC 29036
Phone (803) 345-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC3805 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1326227737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 AMICKS FERRY RD.",
"city": "CHAPIN",
"state": "SC",
"postal_code": "29036",
"telephone_number": "803-345-5811",
"fax_number": "803-345-5814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 AMICKS FERRY RD.",
"city": "CHAPIN",
"state": "SC",
"postal_code": "29036",
"telephone_number": "803-345-5811",
"fax_number": "803-345-5814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORE",
"first_name": "EDITH",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "SC3805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.