Organization Active NPI

James Island Dental, LLC

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1437559630
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3440 Issued in SC
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

Updated by the provider on Aug 26, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.