NPIMap

Organization Active NPI

Sweetgrass Orthodontics LLC

  • Dental Clinic/Center
  • Johns Island, SC
National Provider Identifier
1457868036
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8490 Issued in SC
Legal business name
SWEETGRASS ORTHODONTICS LLC
Practice address
3425 Maybank Hwy Ste B
Johns Island, SC 29455-4821
Phone
(843) 800-2505
Fax
(843) 868-8754
NPI assigned
Jan 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Jing Zhou, DDS, PH.D, MSDNPI 1720228927
Title
Owner
Phone
(317) 260-8999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8490 SC Primary

Addresses

Primary practice location

3425 Maybank Hwy Ste B
Johns Island, SC 29455-4821

Mailing address

1493 Appling Dr
Mount Pleasant, SC 29464-4688
Phone (317) 260-8999

Other practice location 1

8720 Northpark Blvd Ste B
North Charleston, SC 29406-7201
Phone (843) 800-2505

Other practice location 2

1441 N Point Ln
Mount Pleasant, SC 29464
Phone (843) 800-2505

National Provider Directory

National Provider Directory

Locations

3425 Maybank Hwy
#B
Johns Island, SC 29455
Phone (843) 800-2505

8720 Northpark Blvd
Ste B
North Charleston, SC 29406
Phone (843) 553-0911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1457868036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1493 APPLING DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294644688",
            "telephone_number": "317-260-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 MAYBANK HWY STE B",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554821",
            "telephone_number": "843-800-2505",
            "fax_number": "843-868-8754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8720 Northpark Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294067201",
            "country_code": "US",
            "telephone_number": "843-800-2505",
            "fax_number": "843-868-8754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1441 N Point Ln",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "29464",
            "country_code": "US",
            "telephone_number": "843-800-2505",
            "fax_number": "843-868-8754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWEETGRASS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-04",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-260-8999",
        "authorized_official_credential": "DDS, PH.D, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "8490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.