Hampton Park Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HAMPTON PARK DENTISTRY, LLC

Practice address

700 Rutledge Ave # a
Charleston, SC 29403-4145

Phone

(843) 801-9933

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jan Baraczek, DMDNPI 1366995839

Title

General Dentist

Phone

(803) 271-8221

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jan Meghan Baraczek, D.M.D.

  • Dentist
  • Charleston, SC
  • NPI 1366995839
  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1710595061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 COMING ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035438",
            "telephone_number": "803-271-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RUTLEDGE AVE # A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294034145",
            "telephone_number": "843-801-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON PARK DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "BARACZEK",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "803-271-8221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Smith Hammond, MS
• Mark B Hamner, MD
• Christine Hamolia, CNS
• Rochelle R Hampleton
• Hampton Park Dental
• Posha Hampton-Barnes, MSN, RN
• Archibald Alexander Hampton, MD
• Cynthia Denise Hampton, LISW-CP
• Kristina-Lois Hampton, LPC-A, LCMHCA
• Marta Toruno Hampton, MD

• Dentist in Charleston, SC
• Providers in Charleston, SC by specialty
• Dentist in South Carolina

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