Active NPI
Andrew Ply
- Orthodontics and Dentofacial Orthopedics Dentistry
- Beaufort, SC
National Provider Identifier
1689184673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9996
- Practice address
- 37 Sams Point Rd Ste B
Beaufort, SC 29907-2008 - Phone
- (843) 321-9944
- NPI assigned
- Oct 4, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9996 | SC | Primary |
| Dentist | 122300000X | 9040 | SC |
Addresses
Primary practice location
37 Sams Point Rd Ste B
Beaufort, SC 29907-2008
Mailing address
37 Sams Point Rd Ste B
Beaufort, SC 29907-2008
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9040 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zest Pediatric Dentistry | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
37 Sams Point Rd
#B
Beaufort, SC 29907
Phone (843) 321-9944
Organizations & group practices 1
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.
-
- Pediatric Dentistry
- Beaufort, SC
- NPI 1972257095
Orthodontics and Dentofacial Orthopedics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1689184673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SAMS POINT RD STE B",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299072008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 SAMS POINT RD STE B",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299072008",
"telephone_number": "843-321-9944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLY",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-04",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "SC",
"license": "9996",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9040",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
- Emily Pineiro
- Wendy Hauler Pinkham, MSPT
- Chantel M. Pinnock, D.P.M.
- Matthew J Pinto, PA-C
- Viola Pircher, L.AC.
- Louis F Plzak III, MD
- Ryan Thomas Poag
- Podiatry Associates PA Low Country Foot & Ankle Institute Inc
- Podiatry Associates PA Low Country Foot & Ankle Institute Inc
- Anne Marie Podnar-Calvo, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.