NPIMap

Organization Active NPI

Ammons Dental by Design - Wentworth, LLC

  • Dentist
  • Charleston, SC
National Provider Identifier
1609266105
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6938 Issued in SC
Legal business name
AMMONS DENTAL BY DESIGN - WENTWORTH, LLC
Practice address
159 Wentworth St
Charleston, SC 29401-1731
Phone
(843) 577-2898
Fax
(843) 577-4464
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

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

Authorized official

Name
Dr. Michael William Ammons, D.M.D.
Title
Owner
Phone
(843) 577-2898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6938 SC Primary

Addresses

Primary practice location

159 Wentworth St
Charleston, SC 29401-1731

Mailing address

159 Wentworth St
Charleston, SC 29401-1731
Phone (843) 577-2898

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1609266105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WENTWORTH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011731",
            "telephone_number": "843-577-2898",
            "fax_number": "843-577-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WENTWORTH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011731",
            "telephone_number": "843-577-2898",
            "fax_number": "843-577-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMMONS DENTAL BY DESIGN - WENTWORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-577-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "6938",
            "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 Feb 4, 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.

Verify at the official NPI Registry.