Organization Active NPI

Crowfield at North Charleston, LLC

  • General Practice Dentistry
  • North Charleston, SC
National Provider Identifier
1508287863
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3808 Issued in SC
Legal business name
CROWFIELD AT NORTH CHARLESTON, LLC
Practice address
8310 Rivers Ave
Suite D
North Charleston, SC 29406-9268
Phone
(843) 797-7200
Fax
(843) 797-8293
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Dr. Thomas Bradley Williams, DMD
Title
Owner
Phone
(843) 797-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3808 SC Primary

Addresses

Primary practice location

8310 Rivers Ave
Suite D
North Charleston, SC 29406-9268

Mailing address

8310 Rivers Ave
Suite D
North Charleston, SC 29406-9268
Phone (843) 797-7200

National Provider Directory

National Provider Directory

Locations

8310 Rivers Ave
Ste D
North Charleston, SC 29406
Phone (843) 588-5677

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": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1508287863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 RIVERS AVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069268",
            "telephone_number": "843-797-7200",
            "fax_number": "843-797-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 RIVERS AVE",
            "address_2": "SUITE D",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069268",
            "telephone_number": "843-797-7200",
            "fax_number": "843-797-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWFIELD AT NORTH CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-797-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.