Active NPI
Philip Render, DMD
- Dentist
- Myrtle Beach, SC
National Provider Identifier
1326300450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30-2437
- Practice address
- 3500 Pampas Dr
Myrtle Beach, SC 29577-5168 - Phone
- (843) 477-2171
- Fax
- (843) 477-2172
- NPI assigned
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 30-2437 | SC | Primary |
Addresses
Primary practice location
3500 Pampas Dr
Myrtle Beach, SC 29577-5168
Mailing address
2050 E Highway 501
Conway, SC 29526-9521
Phone (843) 477-2171
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 |
|---|---|---|---|
| 30-2437 | SC | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1326300450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 E HIGHWAY 501",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269521",
"telephone_number": "843-477-2171",
"fax_number": "843-477-2172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 PAMPAS DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775168",
"telephone_number": "843-477-2171",
"fax_number": "843-477-2172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENDER",
"first_name": "PHILIP",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "30-2437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.