Individual provider Active NPI

Caroline Goldston Hartley, DMD

  • General Practice Dentistry
  • Lexington, SC
National Provider Identifier
1356509293
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC4638 Issued in SC
Practice address
110 Charter Oak Rd
Lexington, SC 29072-9710
Phone
(803) 359-6143
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X SC4638 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

110 Charter Oak Rd
Lexington, SC 29072-9710

Mailing address

110 Charter Oak Rd
Lexington, SC 29072-9710
Phone (803) 359-6143

Other practice location 1

1116 Atlas Rd
Columbia, SC 29209-2532
Phone (803) 783-0525

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

LicenseStateTypeSpecialty
SC4638SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Merri M Gandhi, DMD, of Columbia PA General Practice Past Accepting new patients
South Shore Dental LLC General Practice PastSince Feb 1, 2022 Accepting new patients
SS Dental LLC PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1356509293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHARTER OAK RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729710",
            "telephone_number": "803-359-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHARTER OAK RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729710",
            "telephone_number": "803-359-6143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 Atlas Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292092532",
            "country_code": "US",
            "telephone_number": "803-783-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "CAROLINE",
        "middle_name": "GOLDSTON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC4638",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.