Active NPI
Bethany Ann Herbert, DMD, PHD
- General Practice Dentistry
- Mount Pleasant, SC
National Provider Identifier
1467938050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9200
- Practice address
- 1077 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3155 - Phone
- (571) 276-1272
- NPI assigned
- Jul 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9200 | SC | Primary |
Addresses
Primary practice location
1077 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3155
Mailing address
1805 Shoremeade Rd Ste 217
Mount Pleasant, SC 29464-7313
Phone (571) 276-1272
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9200 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1467938050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 SHOREMEADE RD STE 217",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294647313",
"telephone_number": "571-276-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 JOHNNIE DODDS BLVD",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294643155",
"telephone_number": "571-276-1272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "BETHANY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DMD, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-17",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.