Matthew R Rismani, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3072 Issued in SC

Practice address

3210 Landmark Dr
Suite D
North Charleston, SC 29418-8486

Phone

(843) 767-2600

Fax

(843) 552-4405

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356424170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 INTRA COASTAL COURT",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "29451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 LANDMARK DR",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188486",
            "telephone_number": "843-767-2600",
            "fax_number": "843-552-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISMANI",
        "first_name": "MATTHEW",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "817967",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930734",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Sonia Riley
• Audrey Elizabeth Rinker
• Julia Rioux
• Emily Riser, COTA
• Stacey Risk, PHARMD
• Sid R Rismani, D.M.D.
• Emily Ritchie
• Gabriella Rivas, MD
• River Landing Dentistry North CHS LLC
• Riverbluff Discipleship Counseling Center

• General Practice Dentistry in North Charleston, SC
• Providers in North Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.