Active NPI
Mary Machowski, DMD
- Prosthodontics
- Pawleys Island, SC
National Provider Identifier
1700311883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 9123
- Practice address
- 13089 Ocean Hwy Unit D4
Pawleys Island, SC 29585-7140 - Phone
- (843) 903-7767
- NPI assigned
- Apr 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 9123 | SC | Primary |
| Prosthodontics | 1223P0700X | 12185 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
13089 Ocean Hwy Unit D4
Pawleys Island, SC 29585-7140
Mailing address
1461 Brookgreen Dr
Myrtle Beach, SC 29577-5823
Phone (843) 448-4163
Other practice location 1
1461 Brookgreen Dr
Myrtle Beach, SC 29577-5823
Phone (843) 448-4163
Other practice location 2
5501 Woodside Ave Unit 101
Myrtle Beach, SC 29577-2279
Phone (843) 903-7767
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 |
|---|---|---|---|
| 12185 | NC | MD | Prosthodontist |
| 9123 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1700311883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1461 BROOKGREEN DR",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295775823",
"telephone_number": "843-448-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13089 OCEAN HWY UNIT D4",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295857140",
"telephone_number": "843-903-7767"
}
],
"practiceLocations": [
{
"address_1": "1461 Brookgreen Dr",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295775823",
"country_code": "US",
"telephone_number": "843-448-4163",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5501 Woodside Ave Unit 101",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295772279",
"country_code": "US",
"telephone_number": "843-903-7767",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACHOWSKI",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-26",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "9123",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "12185",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawleys Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.