NPIMap

Organization Active NPI

Michael E Piepenbring DMD Ms PC

  • Endodontics
  • Georgetown, SC
National Provider Identifier
1750492997
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
0522 Issued in SC
Legal business name
MICHAEL E PIEPENBRING DMD MS PC
Practice address
1109 Memorial Lane
Suite B
Georgetown, SC 29440
Phone
(843) 546-0173
Fax
(843) 545-8343
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Michael Eugene Piepenbring, DMD MSNPI 1912188525
Title
President
Phone
(843) 546-0173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 0522 SC Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 0338 SC

Addresses

Primary practice location

1109 Memorial Lane
Suite B
Georgetown, SC 29440

Mailing address

1109 Memorial Lane
Suite B
Georgetown, SC 29440
Phone (843) 546-0173

Other identifiers 2

IdentifierTypeStateIssuer
1912188525MedicaidSC
ZA9782MedicaidSC

National Provider Directory

National Provider Directory

Locations

1109 Memorial Ln
Ste B
Georgetown, SC 29440
Phone (843) 546-0173

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1750492997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 MEMORIAL LANE",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-546-0173",
            "fax_number": "843-545-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MEMORIAL LANE",
            "address_2": "SUITE B",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "29440",
            "telephone_number": "843-546-0173",
            "fax_number": "843-545-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E PIEPENBRING DMD MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "PIEPENBRING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-546-0173",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "0522",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "0338",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912188525",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9782",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.