NPIMap

Individual provider Active NPI

Janet Ann Stoddart, DDS

  • Dentist
  • Ridgeland, SC
National Provider Identifier
1457416232
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9983 Issued in SC
Practice address
Beaufort Jasper Hampton Comprehensive Health Services
721 N Okatie Hwy, 357
Ridgeland, SC 29936
Phone
(843) 987-7400
Fax
(843) 987-3104
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4672 ME
Dentist 122300000X 046540 NY
Dentist 122300000X 0401416987 VA
Dentist 122300000X 9983 SC Primary

Addresses

Primary practice location

Beaufort Jasper Hampton Comprehensive Health Services
721 N Okatie Hwy, 357
Ridgeland, SC 29936

Mailing address

721 N Okatie Hwy, P.O. Box 357
Ridgeland, SC 29936
Phone (843) 987-7400

Other practice location 1

108 E 23rd St
New York, NY 10010-4516
Phone (212) 475-0284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220422001980 SC Practitioner - Dentist 4486945953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Meharry Medical College School of Dentistry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort Jasper Hampton Comprehensive Health Services IncGroup PAC ID 5597675728, 35 clinicians

Practice addresses (Care Compare)

721 N Okatie Hwy
Ridgeland, SC 29936-8276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4672MEMDDentist
0401416987VAMDDentist
9983SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc. CurrentSince Jan 14, 2022 Accepting new patients
Beaufort Jasper Hampton Comprehensive Health Services, Inc CurrentSince Jan 14, 2022 Accepting new patients
Gramercy Smiles Dental Past Accepting new patients
Gramercy Smiles Dentist Past Accepting new patients

Locations

721 Okatie Hwy
Okatie, SC 29909

721 Okatie Hwy
#170
Okatie, SC 29909

721 N Okatie Hwy
#357
Ridgeland, SC 29936

721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492

721 N Okatie Hwy
#170
Ridgeland, SC 29936

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EICIBD

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1457416232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 N OKATIE HWY, P.O. BOX 357",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES",
            "address_2": "721 N OKATIE HWY, 357",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "29936",
            "telephone_number": "843-987-7400",
            "fax_number": "843-987-3104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104516",
            "country_code": "US",
            "telephone_number": "212-475-0284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STODDART",
        "first_name": "JANET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4672",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046540",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416987",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, SC

Sources for this page

Verify at the official NPI Registry.