Organization Active NPI

R&J Peds LLC

  • Pediatric Dentistry
  • Mt Pleasant, SC
National Provider Identifier
1376301762
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
R&J PEDS LLC
Practice address
1200 Two Island CT Unit C
Mt Pleasant, SC 29466-7418
Phone
(843) 974-1200
Fax
(843) 654-1298
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Rosaria Barnes, DDSNPI 1104212372
Title
Pediatric Dentist/Owner
Phone
(262) 515-1177

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

1200 Two Island CT Unit C
Mt Pleasant, SC 29466-7418

Mailing address

1445 Waterside CT
Mt Pleasant, SC 29464-7445
Phone (262) 515-1177

Other identifiers 1

IdentifierTypeStateIssuer
1255666863OtherNPI OF OTHER PROVIDER IN PRACTICE/ORGANIZATION

Other names 1

  • Sweet Carolina Pediatric Dentistry Other name

National Provider Directory

National Provider Directory

Locations

1200 Two Island Ct
Unit C
Mt Pleasant, SC 29466
Phone (843) 974-1200

Practitioners & affiliated clinicians

Practitioners 1

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1376301762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WATERSIDE CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647445",
            "telephone_number": "262-515-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 TWO ISLAND CT UNIT C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667418",
            "telephone_number": "843-974-1200",
            "fax_number": "843-654-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&J PEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-10",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "ROSARIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "262-515-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF OTHER PROVIDER IN PRACTICE/ORGANIZATION",
            "identifier": "1255666863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweet Carolina Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.