Paul Martin Doughty, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

4375 Issued in SC

Practice address

929 Bowman Rd Ste a
Mount Pleasant, SC 29464-3237

Phone

(843) 971-0661

Fax

(843) 971-5219

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215561600000",
    "number": "1497918544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOWMAN RD STE A",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643237",
            "telephone_number": "843-971-0661",
            "fax_number": "843-971-5219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHTY",
        "first_name": "PAUL",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie R Donovan, NURSE PRACTITIONER
• Anna Grace Dorrien
• Natalie Strawn Doss, MA ,CCC-SLP
• Aprile Doubt, OD
• Christina E Doucette, M.A., LPC
• Anna Kaitlyn Dowling, MS OT
• Susan Elizabeth Doyle, D.C.
• Dr Joan Wynn Taylor LLC
• Dr Matthew Murrin PA
• Dr. Addison B. Nelson LLC

• Dentist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.