Organization Active NPI

Kidz Planet Pediatric Dentistry, PA

  • Pediatric Dentistry
  • Charleston, SC
National Provider Identifier
1629415674
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4439 Issued in SC
Legal business name
KIDZ PLANET PEDIATRIC DENTISTRY, PA
Practice address
494 Savannah Hwy
Charleston, SC 29407-7275
Phone
(843) 405-4463
Fax
(843) 879-9155
NPI assigned
May 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Denise Carroll Swasty, DDS, MS
Title
President/Dentist
Phone
(843) 405-4463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 4439 SC Primary

Addresses

Primary practice location

494 Savannah Hwy
Charleston, SC 29407-7275

Mailing address

494 Savannah Hwy
Charleston, SC 29407-7275
Phone (843) 405-4463

National Provider Directory

National Provider Directory

Locations

494B Savannah Hwy
Charleston, SC 29407
Phone (843) 405-4463

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1629415674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077275",
            "telephone_number": "843-405-4463",
            "fax_number": "843-879-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 SAVANNAH HWY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077275",
            "telephone_number": "843-405-4463",
            "fax_number": "843-879-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ PLANET PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "SWASTY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "843-405-4463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "4439",
            "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 May 31, 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.