Individual provider Active NPI

Stephanie Silva

  • Pediatric Dentistry
  • North Augusta, SC
National Provider Identifier
1528429644
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9116 Issued in SC
Practice address
133 Allen CT
North Augusta, SC 29860-9699
Phone
(803) 426-3826
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9116 SC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

133 Allen CT
North Augusta, SC 29860-9699

Mailing address

133 Allen CT
North Augusta, SC 29860-9699
Phone (803) 426-3826

Other practice location 1

5080 Sunset Blvd Ste B
Lexington, SC 29072-7051
Phone (803) 996-0753

Other practice location 2

1430 John Wesley Gilbert Dr
Gc2116
Augusta, GA 30912-0001
Phone (706) 721-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9116SCMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Silva DMD, LLC Pediatric Dentistry CurrentSince May 24, 2020 Accepting new patients

Locations

133 Allen Ct
North Augusta, SC 29860
Phone (803) 426-3826

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1528429644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ALLEN CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609699",
            "telephone_number": "803-426-3826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ALLEN CT",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609699",
            "telephone_number": "803-426-3826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5080 Sunset Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290727051",
            "country_code": "US",
            "telephone_number": "803-996-0753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 John Wesley Gilbert Dr",
            "address_2": "GC2116",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120001",
            "country_code": "US",
            "telephone_number": "706-721-9073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVA",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "9116",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.