Individual provider Active NPI

Lauren Elizabeth Knight, D.D.S.

  • Dentist
  • North Charleston, SC
National Provider Identifier
1558599183
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6959 Issued in SC
Practice address
5306 Parkshire Way
North Charleston, SC 29418-2000
Phone
(843) 552-1600
NPI assigned
Jun 22, 2009
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8999 TN
Dentist 122300000X 6959 SC Primary

Addresses

Primary practice location

5306 Parkshire Way
North Charleston, SC 29418-2000

Mailing address

5306 Parkshire Way
North Charleston, SC 29418-2000
Phone (843) 552-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010208 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3375856073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6959SCMDProfessional Counselor
8999TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Archdale Family Dentistry Dentist Past Accepting new patients
Archdale Family Dentistry Associates, LLC Past Accepting new patients

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1558599183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 PARKSHIRE WAY",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182000",
            "telephone_number": "843-552-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 PARKSHIRE WAY",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294182000",
            "telephone_number": "843-552-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8999",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.