Brandon Scott Wishnow, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9210 Issued in SC

Practice address

1971 N Main St
Summerville, SC 29486-7820

Phone

(843) 871-0842

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• SFD Carnes LLC

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1144762576
  NPD (past)
• SFD Carnes LLC

  dba Soloman Family dentistry

  • Customized Equipment (DME)
  • Summerville, SC
  • NPI 1285227389
  NPD (past)

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1396229514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AMALIE FARMS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294928591",
            "telephone_number": "240-491-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867820",
            "telephone_number": "843-871-0842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Parish Farms Dr",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294860409",
            "country_code": "US",
            "telephone_number": "843-300-1635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISHNOW",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Colizzi Windom
• Ashley Wing, FNP-BC
• Jennifer Marie Wingfield, PHARMD
• Seth Winkler, M.D.
• Hannah Winningham
• Rachel Sarah Wissing
• Lynn Snipes Wogamon, L.P.E.S
• Linda A Wolf, MS, NBCC, LPC
• Latefa Monique Wolfe
• Womens Health Partners

• General Practice Dentistry in Summerville, SC
• Providers in Summerville, 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 Sep 24, 2018; 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.