Organization Active NPI

Sea Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Bluffton, SC
National Provider Identifier
1548688609
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8196 Issued in SC
Legal business name
SEA SMILES PEDIATRIC DENTISTRY
Practice address
168 Bluffton Rd
Bluffton, SC 29910-6248
Phone
(989) 415-3397
NPI assigned
Apr 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Authorized official

Name
Shane Harpham, D.D.S.
Title
Pediatric Dentist
Phone
(989) 415-3397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 8196 SC Primary

Addresses

Primary practice location

168 Bluffton Rd
Bluffton, SC 29910-6248

Mailing address

168 Bluffton Rd
Bluffton, SC 29910-6248

National Provider Directory

National Provider Directory

Locations

168 Bluffton Rd
Bluffton, SC 29910
Phone (843) 757-2828

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396569600000",
    "number": "1548688609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BLUFFTON RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106248",
            "telephone_number": "989-415-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA SMILES PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A",
        "authorized_official_last_name": "HARPHAM",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "989-415-3397",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "8196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.