NPIMap

Organization Active NPI

Mark F. Yampolsky, DDS, Ms Dba Carolina Periodontics

  • Periodontics
  • Charleston, SC
National Provider Identifier
1609207554
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2962 Issued in SC
Legal business name
MARK F. YAMPOLSKY, DDS, MS DBA CAROLINA PERIODONTICS
Practice address
1064 Gardner Rd
Suite #110
Charleston, SC 29407-5768
Phone
(843) 556-8778
Fax
(843) 556-7003
NPI assigned
Dec 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Mark F YampolskyNPI 1083757991
Title
Owner
Phone
(843) 556-8778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 2962 SC Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 6934 SC

Addresses

Primary practice location

1064 Gardner Rd
Suite #110
Charleston, SC 29407-5768

Mailing address

1064 Gardner Rd
Suite #110
Charleston, SC 29407-5768
Phone (843) 556-8778

National Provider Directory

National Provider Directory

Locations

1064 Gardner Rd
Ste 110
Charleston, SC 29407
Phone (843) 556-8778

Practitioners & affiliated clinicians

Practitioners 5

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": "1386028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1609207554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD",
            "address_2": "SUITE #110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075768",
            "telephone_number": "843-556-8778",
            "fax_number": "843-556-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 GARDNER RD",
            "address_2": "SUITE #110",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075768",
            "telephone_number": "843-556-8778",
            "fax_number": "843-556-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK F. YAMPOLSKY, DDS, MS DBA CAROLINA PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "YAMPOLSKY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-556-8778"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2962",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "6934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.