Organization Active NPI

North Beach Dental

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1497025969
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4565 Issued in SC
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

Updated by the provider on Dec 30, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.