Active NPI
James Island Dental, LLC
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1437559630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3440
- Legal business name
- JAMES ISLAND DENTAL, LLC
- Practice address
- 1136 Folly Rd
Charleston, SC 29412-4104 - Phone
- (843) 225-7171
- NPI assigned
- Aug 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Durham
- Title
- Member
- Phone
- (864) 350-1386
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3440 | SC | Primary |
Addresses
Primary practice location
1136 Folly Rd
Charleston, SC 29412-4104
Mailing address
1136 Folly Rd
Charleston, SC 29412-4104
National Provider Directory
National Provider DirectoryLocations
1136 Folly Rd
Charleston, SC 29412
Phone (843) 225-7171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1437559630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 FOLLY RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294124104",
"telephone_number": "843-225-7171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES ISLAND DENTAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-26",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "DURHAM",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "864-350-1386"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- James a. Thesing D.O. P.C.
- James D. Moore DMD, PA
- James Island Charter High School
- James Island Charter High School
- James Island Dental Associates, PA
- James Island Dentistry for Children LLC
- James Island Family Chiropractic, LLC.
- James Island Family Orthodontics LLC
- James Island Family Practice
- James Island Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.