Active NPI
Elizabeth Blakeney Sitton, DMD
- Dentist
- Fort Mill, SC
National Provider Identifier
1336759307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9670
- Practice address
- 3463 US-21 #101
Fort Mill, SC 29715 - Phone
- (520) 488-8612
- NPI assigned
- Aug 5, 2020
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9670 | SC | Primary |
Addresses
Primary practice location
3463 US-21 #101
Fort Mill, SC 29715
Mailing address
1440 Harding PL Apt 445
Charlotte, NC 28204-0040
Phone (520) 488-8612
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 |
|---|---|---|---|
| 9670 | SC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1336759307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 HARDING PL APT 445",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282040040",
"telephone_number": "520-488-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3463 US-21 #101",
"city": "FORT MILL",
"state": "SC",
"postal_code": "29715",
"telephone_number": "520-488-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITTON",
"first_name": "ELIZABETH",
"middle_name": "BLAKENEY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.