NPIMap

Organization Active NPI

Orthodontic Specialists of Carolina, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Columbia, SC
National Provider Identifier
1508087586
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3358 Issued in SC
Legal business name
ORTHODONTIC SPECIALISTS OF CAROLINA, PC
Practice address
275 Harbison Blvd
Suite GG
Columbia, SC 29212-2222
Phone
(803) 749-4746
Fax
(803) 749-9285
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Dr. Kerry White Brown, DDSNPI 1033310685
Title
Owner
Phone
(803) 749-4746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3358 SC Primary

Addresses

Primary practice location

275 Harbison Blvd
Suite GG
Columbia, SC 29212-2222

Mailing address

275 Harbison Blvd
Suite GG
Columbia, SC 29212-2222
Phone (803) 749-4746

Other names 2

  • Orthodontic Specialists of Carolina Doing business as
  • Kerry White Brown, DDS, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kerry White Brown DDS PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 Harbison Blvd
Ste Gg
Columbia, SC 29212
Phone (803) 749-4746

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1508087586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HARBISON BLVD",
            "address_2": "SUITE GG",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122222",
            "telephone_number": "803-749-4746",
            "fax_number": "803-749-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HARBISON BLVD",
            "address_2": "SUITE GG",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122222",
            "telephone_number": "803-749-4746",
            "fax_number": "803-749-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTIC SPECIALISTS OF CAROLINA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "WHITE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-749-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Specialists of Carolina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kerry White Brown, DDS, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.