NPIMap

Organization Active NPI

Kings Highway Dental Health Center, P.C.

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1740689967
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2464 Issued in SC
Legal business name
KINGS HIGHWAY DENTAL HEALTH CENTER, P.C.
Doing business as
Oceanside Dental
Practice address
1317 N Kings Hwy # 106
Myrtle Beach, SC 29577-3636
Phone
(843) 626-5437
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dan Spears
Title
Owner/President
Phone
(843) 626-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2464 SC Primary

Addresses

Primary practice location

1317 N Kings Hwy # 106
Myrtle Beach, SC 29577-3636

Mailing address

1317 N Kings Hwy # 106
Myrtle Beach, SC 29577-3636
Phone (843) 626-5437

Other names 1

  • Oceanside Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1317 N Kings Hwy
#106
Myrtle Beach, SC 29577
Phone (843) 626-5437

Practitioners & affiliated clinicians

Practitioners 1

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1740689967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N KINGS HWY # 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773636",
            "telephone_number": "843-626-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N KINGS HWY # 106",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773636",
            "telephone_number": "843-626-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS HIGHWAY DENTAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-626-5437"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oceanside Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.