NPIMap

Organization Active NPI

East Cooper Dental Excellence

  • Dentist
  • Mt Pleasant, SC
National Provider Identifier
1669680948
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2162 Issued in SC
Legal business name
EAST COOPER DENTAL EXCELLENCE
Practice address
1100 Queensborough Blvd
Suite 103
Mt Pleasant, SC 29464
Phone
(843) 388-9894
Fax
(843) 388-9896
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James W Warner, DMD
Title
Dentist
Phone
(843) 388-9894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 2162 SC Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 3884 SC

Addresses

Primary practice location

1100 Queensborough Blvd
Suite 103
Mt Pleasant, SC 29464

Mailing address

1100 Queensborough Blvd
Suite 103
Mt Pleasant, SC 29464
Phone (843) 388-9894

National Provider Directory

National Provider Directory

Locations

1100 Queensborough Blvd
Ste 103
Mt Pleasant, SC 29464
Phone (843) 388-9894

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669680948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 QUEENSBOROUGH BLVD",
            "address_2": "SUITE 103",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-9894",
            "fax_number": "843-388-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 QUEENSBOROUGH BLVD",
            "address_2": "SUITE 103",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-388-9894",
            "fax_number": "843-388-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COOPER DENTAL EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-388-9894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2162",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3884",
            "primary": false
        }
    ],
    "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 Aug 22, 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.