Individual provider Active NPI

Nicole Lynn Dahlkemper, DMD

  • General Practice Dentistry
  • Mt Pleasant, SC
National Provider Identifier
1659575603
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4690 Issued in SC
Practice address
1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405
Phone
(843) 884-6166
Fax
(843) 884-1140
NPI assigned
Jun 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4690 SC Primary

Addresses

Primary practice location

1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405

Mailing address

1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405
Phone (843) 884-6166

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4690SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Sleep LLC CurrentSince Oct 5, 2018 Accepting new patients
Nicole Dahlkemper, DMD, PC General Practice PastSince Aug 15, 2011 Accepting new patients

Locations

1203 Two Island Ct
Unit 101
Mt Pleasant, SC 29466
Phone (843) 606-2477

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1659575603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-884-6166",
            "fax_number": "843-884-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-884-6166",
            "fax_number": "843-884-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKEMPER",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.