Organization Active NPI

Carnes Crossroads Dental Arts P.a.

  • Dental Clinic/Center
  • Moncks Corner, SC
National Provider Identifier
1396981304
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
SC4275 Issued in SC
Legal business name
CARNES CROSSROADS DENTAL ARTS P.A.
Practice address
3751 S Live Oak Dr
Suite G
Moncks Corner, SC 29461-8746
Phone
(843) 761-7380
Fax
(843) 761-7385
NPI assigned
Dec 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Authorized official

Name
Dr. John T. Hess, D.D.S.
Title
President
Phone
(843) 761-8370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X SC4275 SC Primary

Addresses

Primary practice location

3751 S Live Oak Dr
Suite G
Moncks Corner, SC 29461-8746

Mailing address

3751 S Live Oak Dr
Suite G
Moncks Corner, SC 29461-8746
Phone (843) 761-7380

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1396981304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 S LIVE OAK DR",
            "address_2": "SUITE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618746",
            "telephone_number": "843-761-7380",
            "fax_number": "843-761-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 S LIVE OAK DR",
            "address_2": "SUITE G",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294618746",
            "telephone_number": "843-761-7380",
            "fax_number": "843-761-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNES CROSSROADS DENTAL ARTS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-761-8370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "SC4275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.