Shannon Morris Pye, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3282 Issued in SC

Practice address

664 Hiers Corner Rd
Walterboro, SC 29488-2897

Phone

(843) 549-5913

Fax

(843) 549-5193

NPI assigned

Oct 26, 2006

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shannon M. Pye, DMD, PA

  • General Practice Dentistry
  • Walterboro, SC
  • NPI 1669672929
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1417032756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880005",
            "telephone_number": "843-549-5913",
            "fax_number": "843-549-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 HIERS CORNER RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882897",
            "telephone_number": "843-549-5913",
            "fax_number": "843-549-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYE",
        "first_name": "SHANNON",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9652",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3282",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moya Pierce, RN
• Heather M Poirier
• Priority Home Care LLC
• Pruitthealth - Walterboro, LLC
• PSC, Inc
• Mark Andrew Rainwater, DDS
• Rapha Family Footcare
• Dee Anne Hickman Reaves, OTR/L
• James Lee Reavis
• Horace Lee Reese III, PHARMD

• General Practice Dentistry in Walterboro, SC
• Providers in Walterboro, 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 Jul 24, 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.

Verify at the official NPI Registry.