Organization Active NPI

Tiny Teeth

  • Pediatric Dentistry
  • Irmo, SC
National Provider Identifier
1326625591
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TINY TEETH
Practice address
7432 Broad River Road
Irmo, SC 29063
Phone
(803) 781-2511
Fax
(803) 781-8401
NPI assigned
Mar 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Dr. Caroline Ferrell Branchal, DMDNPI 1235495664
Title
Owner/Dentish
Phone
(803) 781-2511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7432 Broad River Road
Irmo, SC 29063

Mailing address

7432 Broad River Road
Irmo, SC 29063
Phone (803) 781-2511

Other practice location 1

1 Thames Vly
Irmo, SC 29063-2469
Phone (803) 781-2511

National Provider Directory

National Provider Directory

Locations

7432 Broad River Rd
Irmo, SC 29063
Phone (803) 781-2511

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1326625591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 BROAD RIVER ROAD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-781-2511",
            "fax_number": "803-781-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 BROAD RIVER ROAD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "29063",
            "telephone_number": "803-781-2511",
            "fax_number": "803-781-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Thames Vly",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632469",
            "country_code": "US",
            "telephone_number": "803-781-2511",
            "fax_number": "803-781-8401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TINY TEETH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BRANCHAL",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "FERRELL",
        "authorized_official_title_or_position": "OWNER/DENTISH",
        "authorized_official_telephone_number": "803-781-2511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.