Active NPI
Ann Dysart
- Dentist
- Charleston, SC
National Provider Identifier
1609249846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8616
- Practice address
- 45 Sycamore Ave
Apt 1617
Charleston, SC 29407-6710 - Phone
- (609) 306-0198
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8616 | SC | Primary |
Addresses
Primary practice location
45 Sycamore Ave
Apt 1617
Charleston, SC 29407-6710
Mailing address
45 Sycamore Ave
Apt 1617
Charleston, SC 29407-6710
Phone (609) 306-0198
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8616 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1609249846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SYCAMORE AVE",
"address_2": "APT 1617",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076710",
"telephone_number": "609-306-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SYCAMORE AVE",
"address_2": "APT 1617",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076710",
"telephone_number": "609-306-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYSART",
"first_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8616",
"primary": true
}
],
"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 Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.