Active NPI
Healthy Childsmiles, LLC
Doing business as ChildSmiles Dental, LLC
- Dental Clinic/Center
- Mullins, SC
National Provider Identifier
1679959431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- HEALTHY CHILDSMILES, LLC
- Doing business as
- ChildSmiles Dental, LLC
- Practice address
- 4504 East Highway 76
Mullins, SC 29574 - Phone
- (843) 874-4074
- NPI assigned
- Aug 4, 2015
- Last updated
- Nov 16, 2015
- 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
- Chanda Parsley
- Title
- Chief Executive Officer
- Phone
- (843) 732-2477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
4504 East Highway 76
Mullins, SC 29574
Mailing address
PO Box 224
Mullins, SC 29574
Phone (843) 874-4074
Other names 1
- ChildSmiles Dental, LLC
National Provider Directory
National Provider Directory- Tax ID family
- Childsmiles 360
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Mullins, SC
- NPI 1558765925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447632000000",
"number": "1679959431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 224",
"city": "MULLINS",
"state": "SC",
"postal_code": "29574",
"telephone_number": "843-874-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 EAST HIGHWAY 76",
"city": "MULLINS",
"state": "SC",
"postal_code": "29574",
"telephone_number": "843-874-4074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHY CHILDSMILES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-04",
"last_updated": "2015-11-16",
"status": "A",
"authorized_official_last_name": "PARSLEY",
"authorized_official_first_name": "CHANDA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "843-732-2477"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ChildSmiles Dental, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mullins, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.