Active NPI
Samuel Purnell, D.M.D, M.S
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, SC
National Provider Identifier
1639541600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 8336
- Practice address
- 4574 Sunset Blvd
B
Lexington, SC 29072-9250 - Phone
- (803) 785-4460
- NPI assigned
- Oct 29, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 8336 | SC | Primary |
Addresses
Primary practice location
4574 Sunset Blvd
B
Lexington, SC 29072-9250
Mailing address
4574 Sunset Blvd
B
Lexington, SC 29072-9250
Phone (803) 785-4460
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8336 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purnell Orthodontics PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lexington, SC
- NPI 1174998892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1639541600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4574 SUNSET BLVD",
"address_2": "B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729250",
"telephone_number": "803-785-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4574 SUNSET BLVD",
"address_2": "B",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290729250",
"telephone_number": "803-785-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURNELL",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "D.M.D, M.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-29",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "8336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.