Individual provider Active NPI

Carley Adams Lucas, D.M.D

  • Dentist
  • Columbia, SC
National Provider Identifier
1447981089
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10243 Issued in SC
Practice address
1116 Atlas Rd
Columbia, SC 29209-2532
NPI assigned
Jun 23, 2022
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10243 SC Primary

Addresses

Primary practice location

1116 Atlas Rd
Columbia, SC 29209-2532

Mailing address

1116 Atlas Rd
Columbia, SC 29209-2532
Phone (803) 783-0525

Other practice location 1

110 Charter Oak Rd
Lexington, SC 29072-9710
Phone (803) 359-6143

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
10243SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
SS Dental LLC CurrentSince Jun 26, 2022 Accepting new patients
South Shore Dental LLC Past Accepting new patients
Merri M Gandhi, DMD, of Columbia PA PastSince Jun 26, 2022 Accepting new patients

Locations

1116 Atlas Rd
Columbia, SC 29209
Phone (803) 783-0525

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1447981089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 ATLAS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092532",
            "telephone_number": "803-783-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 ATLAS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Charter Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290729710",
            "country_code": "US",
            "telephone_number": "803-359-6143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "CARLEY",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.