Organization Active NPI

TGD-West Ashley LLC

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1629691449
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TGD-WEST ASHLEY LLC
Practice address
2048 Sam Rittenberg Blvd Ste 2
Charleston, SC 29407-4673
Phone
(843) 556-5150
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Authorized official

Name
Dr. Eric Layton, DDS
Title
Owner
Phone
(843) 552-2580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2048 Sam Rittenberg Blvd Ste 2
Charleston, SC 29407-4673

Mailing address

2048 Sam Rittenberg Blvd Ste 2
Charleston, SC 29407-4673
Phone (843) 556-5150

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherNA

National Provider Directory

National Provider Directory

Locations

2048 Sam Rittenberg Blvd
Ste 2
Charleston, SC 29407
Phone (843) 556-5150

Practitioners & affiliated clinicians

Practitioners 1

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": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1629691449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 SAM RITTENBERG BLVD STE 2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074673",
            "telephone_number": "843-556-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 SAM RITTENBERG BLVD STE 2",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074673",
            "telephone_number": "843-556-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGD-WEST ASHLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "LAYTON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-552-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "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 27, 2020; 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.