Active NPI
Elizabeth A Huggins, D.M.D.
- General Practice Dentistry
- Simpsonville, SC
National Provider Identifier
1457733446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN21348
- Practice address
- 745 SE Main St # 3237
Simpsonville, SC 29681-3237 - Phone
- (864) 963-1653
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9358 | SC | |
| General Practice Dentistry | 1223G0001X | DN21348 | FL | Primary |
Addresses
Primary practice location
745 SE Main St # 3237
Simpsonville, SC 29681-3237
Mailing address
5 Lockwood Ave
Greenville, SC 29607-1425
Phone (864) 918-7526
Other practice location 1
222 Cedar Ave
Crestview, FL 32536-2706
Phone (850) 682-2720
Other practice location 2
216 Scuffletown Rd Ste D
Simpsonville, SC 29681-7296
Phone (864) 244-3132
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN21348 | FL | MD | General Practice Dentistry |
| 9358 | SC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedar Pearl Dental, LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Crestview, FL
- NPI 1902790348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1457733446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 LOCKWOOD AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071425",
"telephone_number": "864-918-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 SE MAIN ST # 3237",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813237",
"telephone_number": "864-963-1653"
}
],
"practiceLocations": [
{
"address_1": "222 Cedar Ave",
"address_purpose": "LOCATION",
"city": "Crestview",
"state": "FL",
"postal_code": "325362706",
"country_code": "US",
"telephone_number": "850-682-2720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "216 Scuffletown Rd Ste D",
"address_purpose": "LOCATION",
"city": "Simpsonville",
"state": "SC",
"postal_code": "296817296",
"country_code": "US",
"telephone_number": "864-244-3132",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUGGINS",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9358",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN21348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.