Shannon M. Pye, DMD, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3282 Issued in SC

Legal business name

SHANNON M. PYE, DMD, PA

Practice address

664 Hiers Corner Rd
Walterboro, SC 29488-2897

Phone

(843) 549-5913

Fax

(843) 549-5193

NPI assigned

Jul 24, 2007

Last updated

Jul 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Morris Pye, DMDNPI 1417032756

Title

Owner

Phone

(843) 549-5913

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Shannon Morris Pye, DMD

  • General Practice Dentistry
  • Walterboro, SC
  • NPI 1417032756
  NPD (past) Authorized official

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1669672929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880005",
            "telephone_number": "843-549-5913",
            "fax_number": "843-549-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 HIERS CORNER RD",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294882897",
            "telephone_number": "843-549-5913",
            "fax_number": "843-549-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON M. PYE, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "PYE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-549-5913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9652SC",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3282SC",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Claire Saunders
• SC Department of Juvenile Justice
• Marina Faye Scott, BSN
• Kelly Bianca Seab-Tetrick, MD
• Steven Richard Sexton, RN
• Jamie Shearer
• Amie Jeanne Sheppard, DPT
• Danielle Bunton Shoupe, APRN-FNP
• Cokeshia L Simmons
• Jaunitha Simmons, PT, DPT

• General Practice Dentistry in Walterboro, SC
• Providers in Walterboro, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.