Elizabeth Jane Bjornson, DDS, MHS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0352 Issued in SC

Practice address

1321 Chuck Dawley Blvd
Suite 101
Mt Pleasant, SC 29464-7304

Phone

(843) 881-9909

Fax

(843) 881-8481

NPI assigned

Jul 26, 2006

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

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.

Opted out of Medicare

Yes, effective Mar 21, 2016 through Mar 21, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elizabeth J. Bjornson, DDS, MHS, PA

  • Dental Clinic/Center
  • Mt Pleasant, SC
  • NPI 1013123983
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1750304176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-9909",
            "fax_number": "843-881-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 CHUCK DAWLEY BLVD",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647304",
            "telephone_number": "843-881-9909",
            "fax_number": "843-881-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJORNSON",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "0352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Binkey
• Bio-Medical Applications of South Carolina, Inc.
• Shelley Birnie, P.T.
• Amanda Grace Bishop
• Megan Biwan, RN
• Joshua S. Black, M.D.
• Jean D Blackmon, RN
• Jonathan David Blackwell, PT PHYSICAL THERAPIS
• Terri Lynn Blackwell, PA-C
• Amy Blair

• Periodontics in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.