NPIMap

Organization Active NPI

Cheraw Family Dentistry

  • General Practice Dentistry
  • Cheraw, SC
National Provider Identifier
1548412968
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1642 Issued in SC
Legal business name
CHERAW FAMILY DENTISTRY
Practice address
3137 Hwy 9 W
Cheraw, SC 29520
Phone
(843) 537-9044
Fax
(843) 537-5853
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
William Roachel Laney
Title
Owner
Phone
(843) 537-9044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4509 SC
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 1642 SC Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

3137 Hwy 9 W
Cheraw, SC 29520

Mailing address

PO Box 1466
3137 Hwy 9 W
Cheraw, SC 29520
Phone (843) 537-9044

Other identifiers 1

IdentifierTypeStateIssuer
ZX1642MedicaidSC

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.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1548412968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "address_2": "3137 HWY 9 W",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "29520",
            "telephone_number": "843-537-9044",
            "fax_number": "843-537-5853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 HWY 9 W",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "29520",
            "telephone_number": "843-537-9044",
            "fax_number": "843-537-5853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERAW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-537-9044"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4509",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1642",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX1642",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheraw, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.