Ketamine Treatment Services

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

KETAMINE TREATMENT SERVICES

Doing business as

Dunes West Medical Clinic

Practice address

3015 Dunes West Blvd Ste 510
Mount Pleasant, SC 29466-8252

Phone

(843) 714-8020

NPI assigned

Aug 7, 2019

Organization subpart

No

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

Authorized official

Name

Scott William Smith, MDNPI 1972550283

Title

Owner/President

Phone

(843) 714-8020

Specialties & licenses 1

Addresses

Other names 1

• Dunes West Medical Clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott William Smith, M.D.

  • Family Medicine Physician
  • Mount Pleasant, SC
  • NPI 1972550283
  NPD Authorized official

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1669027595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 DELACOURT AVE",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294669252",
            "telephone_number": "843-714-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 DUNES WEST BLVD STE 510",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668252",
            "telephone_number": "843-714-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-714-8020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dunes West Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anya Kent, D.D.S.
• Kerry Wischusen Counseling & Mindfulness
• Sean Kershaw
• Amanda Kershner, OTR/L
• Allison Lou Kerwin
• Nicole Perrin Ketchin, PAC
• Kaitlin Hope Kettleson, COTA/L
• Michelle Keutzer, CRNA
• Mary Beth Keyserling-Kramer, M.ED., LPC, LMFT
• Caroline Rose Khader, CNM/WHNP

• Adult Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Adult Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.