Medgine Christie Etienne, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

11256 Issued in SC

Practice address

1028 Edgewater Corporate Pkwy Ste 101
Indian Land, SC 29707-0187

Phone

(803) 835-2500

NPI assigned

May 6, 2022

Sex

Female

Sole proprietor

Yes

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: medgine.etienne.1@22829.direct.athenahealth.com

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.

• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Island City, NY
  • NPI 1306954631
  Medicare reassignment NPD
• K. Jasinski, D.M.D., P.C.

  dba Catawba Springs Dental Care

  • General Practice Dentistry
  • Denver, NC
  • NPI 1447951611
  NPD
• The Floating Hospital Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1275946550
  NPD

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1750027397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 EDGEWATER CORPORATE PKWY",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070107",
            "telephone_number": "803-835-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 EDGEWATER CORPORATE PKWY STE 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070187",
            "telephone_number": "803-835-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "MEDGINE",
        "middle_name": "CHRISTIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "11256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doby's Bridge Dentistry
• Doctors Care SC, PA (Doctors Care Indian Land)
• Donna Dukes
• Kimia Eftekhar, DDS
• Mark Ellis
• Evans Physical Therapy & Sport Performance, LLC
• Eyemart Express LLC
• Nancy Farag
• Fresenius Medical Care Northern Lancaster, LLC (Fresenius Kidney Care Northern Lancaster)
• Marcel Christian Fromond

• Dentist in Indian Land, SC
• Providers in Indian Land, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.