Active NPI
Travis Nash, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mount Pleasant, SC
National Provider Identifier
1396808317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 631
- Practice address
- 1127 Queensborough Blvd
Suite 107
Mount Pleasant, SC 29464-5431 - Phone
- (843) 884-6336
- NPI assigned
- Dec 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4149 | SC | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 631 | SC | Primary |
Addresses
Primary practice location
1127 Queensborough Blvd
Suite 107
Mount Pleasant, SC 29464-5431
Mailing address
1127 Queensborough Blvd
Suite 107
Mount Pleasant, SC 29464-5431
Phone (843) 884-6336
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 |
|---|---|---|---|
| 631 | SC | MD | Occupational Therapist |
| 4149 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1396808317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1127 QUEENSBOROUGH BLVD",
"address_2": "SUITE 107",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645431",
"telephone_number": "843-884-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1127 QUEENSBOROUGH BLVD",
"address_2": "SUITE 107",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645431",
"telephone_number": "843-884-6336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4149",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.