Organization Active NPI

Sunset Children's Dentistry

  • General Practice Dentistry
  • Lexington, SC
National Provider Identifier
1639571607
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNSET CHILDREN'S DENTISTRY
Practice address
5080 Sunset Blvd
Suite B
Lexington, SC 29072-7051
Phone
(803) 807-2787
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Authorized official

Name
Dr. Kathi Sample, DMD
Title
Dentist/ Owner
Phone
(803) 807-2787

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary
Pediatric Dentistry 1223P0221X NU

Addresses

Primary practice location

5080 Sunset Blvd
Suite B
Lexington, SC 29072-7051

Mailing address

5080 Sunset Blvd
Suite B
Lexington, SC 29072-7051
Phone (803) 807-2787

National Provider Directory

National Provider Directory

Locations

5080 Sunset Blvd
Ste B
Lexington, SC 29072
Phone (803) 807-2787

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1639571607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727051",
            "telephone_number": "803-807-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727051",
            "telephone_number": "803-807-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET CHILDREN'S DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "803-807-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 22, 2014; 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.