Alexis Lain Borgestad

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DGD.10578 Issued in SC

Practice address

645 Wachesaw Rd
Murrells Inlet, SC 29576-5633

Phone

(843) 357-9845

NPI assigned

Feb 12, 2021

Last updated

Jul 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1740873512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 WACHESAW RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765633",
            "telephone_number": "843-357-9845",
            "fax_number": "843-357-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 WACHESAW RD",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295765633",
            "telephone_number": "843-357-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 Black River Rd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "SC",
            "postal_code": "294403301",
            "country_code": "US",
            "telephone_number": "843-357-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGESTAD",
        "first_name": "ALEXIS",
        "middle_name": "LAIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "DGD.10578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Blair, MD
• Aaron Forsythe Bloom, DDS
• Michael N Bohan, MD
• Jonathan Boland
• Chloe Urig Bond, DNAP, CRNA
• Peggy Bourguillon, M.D.
• Catherine Chatillon Bourne
• Tamara Noel Bowman, APRN
• Amber Brendlen, LISW-CP
• Maureen Siobhan Brindley, FNP

• Endodontics in Murrells Inlet, SC
• Providers in Murrells Inlet, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.