Active NPI
Richard Munford Andrews
- General Practice Dentistry
- Timmonsville, SC
National Provider Identifier
1376665836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2696
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160216000810 | SC | Order and Referring Only - Dentist | 6709181597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Timmonsville, SC
- NPI 1992992937
-
- General Practice Dentistry
- Timmonsville, SC
- NPI 1609081504
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.