Active NPI
Deborah a. Ashcraft, D.M.D.,P.C.
- Pediatric Dentistry
- North Augusta, SC
National Provider Identifier
1659321735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3364-461
- Legal business name
- DEBORAH A. ASHCRAFT, D.M.D.,P.C.
- Practice address
- 460 W Martintown Rd
North Augusta, SC 29841-3106 - Phone
- (803) 279-9901
- Fax
- (803) 279-9215
- NPI assigned
- May 11, 2006
- Last updated
- May 27, 2008
- 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
- Mrs. Lillian D Peterson
- Title
- Office Manager
- Phone
- (803) 279-9901
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 3364-461 | SC | Primary |
| Pediatric Dentistry | 1223P0221X | 11318 | GA |
Addresses
Primary practice location
460 W Martintown Rd
North Augusta, SC 29841-3106
Mailing address
460 W Martintown Rd
North Augusta, SC 29841-3106
Phone (803) 279-9901
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00707165B | Medicaid | GA | |
| ZA9849 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
460 W Martintown Rd
North Augusta, SC 29841
Phone (803) 279-9901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- North Augusta, SC
- NPI 1942250014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1659321735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 W MARTINTOWN RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413106",
"telephone_number": "803-279-9901",
"fax_number": "803-279-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W MARTINTOWN RD",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413106",
"telephone_number": "803-279-9901",
"fax_number": "803-279-9215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEBORAH A. ASHCRAFT, D.M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "LILLIAN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-279-9901",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "3364-461",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "11318",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00707165B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9849",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.