Organization Active NPI

Chester Dental Care

  • General Practice Dentistry
  • Chester, SC
National Provider Identifier
1447255377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2769 Issued in SC
Legal business name
CHESTER DENTAL CARE
Practice address
726 Wilson St
Chester, SC 29706
Phone
(803) 581-2345
Fax
(803) 581-8854
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen C. Adkinson, D.M.D.
Title
Owner
Phone
(803) 581-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2769 SC Primary

Addresses

Primary practice location

726 Wilson St
Chester, SC 29706

Mailing address

726 Wilson St
Chester, SC 29706
Phone (803) 581-2345

Other identifiers 1

IdentifierTypeStateIssuer
ZA9771MedicaidSC

National Provider Directory

National Provider Directory

Locations

726 Wilson St
Chester, SC 29706
Phone (803) 581-2345

Practitioners & affiliated clinicians

Practitioners 2

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": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447255377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 WILSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-581-2345",
            "fax_number": "803-581-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 WILSON ST",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "29706",
            "telephone_number": "803-581-2345",
            "fax_number": "803-581-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADKINSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-581-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9771",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.