Morgan Wade

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10292 Issued in SC

Practice address

3885 W Ashley Cir Unit 640
Charleston, SC 29414-9274

Phone

(843) 212-2101

NPI assigned

Sep 16, 2022

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Professionals of South Carolina, P.C.

  • General Practice Dentistry
  • Charleston, SC
  • NPI 1275112914
  NPD

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1508588427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 BOONE HALL DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 W ASHLEY CIR UNIT 640",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294149274",
            "telephone_number": "843-212-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "MORGAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Feltracco Wade
• Kathryn Anne Wade, PA
• Kistricia Breyanna Wade, CNA
• Lakosha T Wade, NP
• Mason Wade, D.M.D.
• Ghassan Jamal Wadi, MD
• Kerri Ann Waegelein, DPT, OCS
• Jeffrey S Wager, CRNA
• Raines Macphail Waggett, MD
• Stephanie Munie Waggett, MD

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.