NPIMap

Organization Active NPI

Orthodontic Specialists of Carolina, PC

Doing business as Orthodontic Specialists of Carolina

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Florence, SC
National Provider Identifier
1417178492
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3358 Issued in SC
Legal business name
ORTHODONTIC SPECIALISTS OF CAROLINA, PC
Doing business as
Orthodontic Specialists of Carolina
Practice address
2859 David H McLeod Blvd
Florence, SC 29501-4099
Phone
(843) 317-9700
Fax
(843) 317-9778
NPI assigned
May 1, 2007
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Dr. Kerry White Brown, DDSNPI 1033310685
Title
Owner
Phone
(843) 317-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3358 SC Primary

Addresses

Primary practice location

2859 David H McLeod Blvd
Florence, SC 29501-4099

Mailing address

2859 David H McLeod Blvd
Florence, SC 29501-4099
Phone (843) 317-9700

Other names 2

  • Orthodontic Specialists of Carolina Doing business as
  • Kerry White Brown, DDS, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kerry White Brown DDS PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2859 David H McLeod Blvd
Florence, SC 29501
Phone (843) 317-9700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1417178492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014099",
            "telephone_number": "843-317-9700",
            "fax_number": "843-317-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 DAVID H MCLEOD BLVD",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014099",
            "telephone_number": "843-317-9700",
            "fax_number": "843-317-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF CAROLINA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-317-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kerry White Brown, DDS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.