Individual provider Active NPI

Richard Munford Andrews

  • General Practice Dentistry
  • Timmonsville, SC
National Provider Identifier
1376665836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2696 Issued in SC
Practice address
101 W Market St
Timmonsville, SC 29161-1725
Phone
(843) 346-7511
Fax
(843) 346-5792
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2696 SC Primary

Addresses

Primary practice location

101 W Market St
Timmonsville, SC 29161-1725

Mailing address

1808 Damon Dr
Florence, SC 29505-3115
Phone (843) 413-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160216000810 SC Order and Referring Only - DentistPractitioner - Dentist 6709181597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Timmonsville Family Dentistry General Practice Past Accepting new patients
Dr. William S Walker General Practice Past Accepting new patients

Organizations & group practices 2

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": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376665836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 DAMON DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053115",
            "telephone_number": "843-413-1136",
            "fax_number": "843-413-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MARKET ST",
            "city": "TIMMONSVILLE",
            "state": "SC",
            "postal_code": "291611725",
            "telephone_number": "843-346-7511",
            "fax_number": "843-346-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "RICHARD",
        "middle_name": "MUNFORD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timmonsville, SC

Sources for this page

Verify at the official NPI Registry.