Organization Active NPI

Jamie Y Driggers DMD Inc.

  • General Practice Dentistry
  • Saint Stephen, SC
National Provider Identifier
1346470150
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4459 Issued in SC
Legal business name
JAMIE Y DRIGGERS DMD INC.
Practice address
133 Cedar Street
Saint Stephen, SC 29479-0760
Phone
(843) 567-3175
Fax
(843) 567-3293
NPI assigned
Jul 15, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Jamie Yates Driggers, DMDNPI 1356504997
Title
Owner/Dentist
Phone
(843) 567-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4459 SC Primary

Addresses

Primary practice location

133 Cedar Street
Saint Stephen, SC 29479-0760

Mailing address

133 Cedar Street
Saint Stephen, SC 29479-0760
Phone (843) 567-3175

Other identifiers 1

IdentifierTypeStateIssuer
1356504997MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1346470150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 CEDAR STREET",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294790760",
            "telephone_number": "843-567-3175",
            "fax_number": "843-567-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 CEDAR STREET",
            "city": "SAINT STEPHEN",
            "state": "SC",
            "postal_code": "294790760",
            "telephone_number": "843-567-3175",
            "fax_number": "843-567-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE Y DRIGGERS DMD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "DRIGGERS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "YATES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "843-567-3175",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356504997",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Stephen, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.