Organization Active NPI

Oasis Family Dentistry LLC

  • Dental Clinic/Center
  • Mount Pleasant, SC
National Provider Identifier
1518568005
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OASIS FAMILY DENTISTRY LLC
Practice address
1127 Queensborough Blvd Ste 107
Mount Pleasant, SC 29464-5432
Phone
(843) 606-6092
Fax
(843) 606-6094
NPI assigned
Nov 3, 2020
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Dr. Anna Elise Borden, DDSNPI 1376909275
Title
Owner Dentist
Phone
(843) 606-6092

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1127 Queensborough Blvd Ste 107
Mount Pleasant, SC 29464-5432

Mailing address

1127 Queensborough Blvd Ste 107
Mount Pleasant, SC 29464-5432
Phone (843) 606-6092

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2252775Oasis Family Dentistry LLC1127 Queensborough Blvd 107, Mount Pleasant, SC 29464Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1518568005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 QUEENSBOROUGH BLVD STE 107",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645432",
            "telephone_number": "843-606-6092",
            "fax_number": "843-606-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 QUEENSBOROUGH BLVD STE 107",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645432",
            "telephone_number": "843-606-6092",
            "fax_number": "843-606-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "BORDEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "843-606-6092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.