Active NPI
Sunset Children's Dentistry
- General Practice Dentistry
- Lexington, SC
National Provider Identifier
1639571607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2014
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.