Individual provider Active NPI

Chadwick Jennings Golden, DMD

  • Dentist
  • Hilton Head Island, SC
National Provider Identifier
1417180613
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3212 Issued in SC
Practice address
19 Shelter Cove LN
Suite#104 at Watersedge
Hilton Head Island, SC 29928-3520
Phone
(843) 842-2500
Fax
(842) 686-3444
NPI assigned
Sep 3, 2009
Last updated
Sep 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3212 SC Primary

Addresses

Primary practice location

19 Shelter Cove LN
Suite#104 at Watersedge
Hilton Head Island, SC 29928-3520

Mailing address

19 Shelter Cove LN
Suite#104 at Watersedge
Hilton Head Island, SC 29928-3520
Phone (843) 842-2500

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

LicenseStateTypeSpecialty
3212SCMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1417180613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SHELTER COVE LN",
            "address_2": "SUITE#104 AT WATERSEDGE",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283520",
            "telephone_number": "843-842-2500",
            "fax_number": "842-686-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SHELTER COVE LN",
            "address_2": "SUITE#104 AT WATERSEDGE",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283520",
            "telephone_number": "843-842-2500",
            "fax_number": "842-686-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "CHADWICK",
        "middle_name": "JENNINGS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.