Active NPI
Reese King
- General Practice Dentistry
- North Augusta, SC
National Provider Identifier
1396578878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DGD.10941GD
- Practice address
- 419 W Martintown Rd
North Augusta, SC 29841-3175 - Phone
- (803) 599-5944
- NPI assigned
- Aug 21, 2024
- Last updated
- Aug 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | DGD.10941GD | SC | Primary |
Addresses
Primary practice location
419 W Martintown Rd
North Augusta, SC 29841-3175
Mailing address
1004 Murray CT
Aiken, SC 29803-5826
Phone (803) 761-1573
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
| License | State | Type | Specialty |
|---|---|---|---|
| DGD.10941GD | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John M. Newell, III , DMD | General Practice | Current | Accepting new patients |
Locations
419 W Martintown Rd
North Augusta, SC 29841
Phone (803) 279-0012
Organizations & group practices 1
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.
-
dba Newell Dental
- General Practice Dentistry
- North Augusta, SC
- NPI 1932779311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1396578878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 MURRAY CT",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035826",
"telephone_number": "803-761-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 W MARTINTOWN RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413175",
"telephone_number": "803-599-5944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "REESE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-21",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD.10941GD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.