Active NPI
North Beach Dental
- General Practice Dentistry
- Myrtle Beach, SC
National Provider Identifier
1497025969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4565
- Legal business name
- NORTH BEACH DENTAL
- Practice address
- 9654 N Kings Hwy Unit N
Myrtle Beach, SC 29572-4043 - Phone
- (843) 213-0101
- NPI assigned
- Dec 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad Lamar
- Title
- Business Manager
- Phone
- (561) 305-4180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4565 | SC | Primary |
Addresses
Primary practice location
9654 N Kings Hwy Unit N
Myrtle Beach, SC 29572-4043
Mailing address
9654 N Kings Hwy Unit N
Myrtle Beach, SC 29572-4043
Phone (843) 213-0101
National Provider Directory
National Provider DirectoryLocations
9654 N Kings Hwy
Unit N
Myrtle Beach, SC 29572
Phone (843) 692-9313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Georgetown, SC
- NPI 1508034273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325203200000",
"number": "1497025969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9654 N KINGS HWY UNIT N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724043",
"telephone_number": "843-213-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9654 N KINGS HWY UNIT N",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295724043",
"telephone_number": "843-213-0101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BEACH DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-30",
"last_updated": "2011-12-30",
"status": "A",
"authorized_official_last_name": "LAMAR",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "561-305-4180",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Myrtle Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.