Individual provider Active NPI

Lauren Forster Callison, DMD

  • General Practice Dentistry
  • Walterboro, SC
National Provider Identifier
1548501018
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8096 Issued in SC
Practice address
1133 N Jefferies Blvd
Walterboro, SC 29488-2729
Phone
(843) 549-5584
NPI assigned
Mar 8, 2013
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8096 SC Primary

Addresses

Primary practice location

1133 N Jefferies Blvd
Walterboro, SC 29488-2729

Mailing address

105 History LN
Summerville, SC 29485-7850
Phone (843) 352-7998

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
8096SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Callison Dental LLC General Practice CurrentSince Nov 3, 2024 Accepting new patients
Lauren F. Callison, DMD, LLC General Practice CurrentSince Nov 3, 2024 Accepting new patients

Locations

1133 N Jefferies Blvd
Walterboro, SC 29488
Phone (843) 549-5584

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548501018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HISTORY LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294857850",
            "telephone_number": "843-352-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N JEFFERIES BLVD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882729",
            "telephone_number": "843-549-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLISON",
        "first_name": "LAUREN",
        "middle_name": "FORSTER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.