Oak Point Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3467 Issued in SC

Legal business name

OAK POINT PEDIATRIC DENTISTRY, LLC

Practice address

1721 Oak Point Rd
Charleston, SC 29412-2838

Phone

(843) 795-8787

Fax

(843) 795-8717

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Erin Lewis Nichols, D.M.D.NPI 1902902992

Title

President

Phone

(843) 795-8787

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Erin Lewis Nichols, D.M.D.

  • Pediatric Dentistry
  • Charleston, SC
  • NPI 1902902992
  NPD (past) Authorized official
• Rachel Rittenberg Morris, DMD

  • Pediatric Dentistry
  • Charleston, SC
  • NPI 1083001598
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487712535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 OAK POINT RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122838",
            "telephone_number": "843-795-8787",
            "fax_number": "843-795-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 OAK POINT RD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122838",
            "telephone_number": "843-795-8787",
            "fax_number": "843-795-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK POINT PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-795-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9817",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Peter O'Rourke, MD
• Suzanne M O'Shea, RN
• Kasey Cristine O'Shields, MMSC, PA-C, ATC
• Matthew Beal O'Steen, M.D., F.A.C.C.
• Oak Haven Senior Living
• Eleanor Dhein Oakman, MD
• James C Oates, MD
• Angel Obanner, RBT
• Meredith Adele Obaytek, OTR L
• Erik D Oberg, M.D.

• Pediatric Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.