Active NPI
Anastasia Voronina, DDS
- General Practice Dentistry
- Pageland, SC
National Provider Identifier
1770769713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4435
- Practice address
- 124 S Pearl St
Pageland, SC 29728-2254 - Phone
- (843) 672-2403
- Fax
- (843) 672-3299
- NPI assigned
- Jan 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4435 | SC | Primary |
Addresses
Primary practice location
124 S Pearl St
Pageland, SC 29728-2254
Mailing address
124 S Pearl St
Pageland, SC 29728-2254
Phone (843) 672-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4435 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas M. Hendley, D.M.D., P.a. | General Practice | Past | Accepting new patients |
| Pageland Dentistry PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Public Health Dentistry
- Pageland, SC
- NPI 1689088676
-
- General Practice Dentistry
- Pageland, SC
- NPI 1992839708
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1770769713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 S PEARL ST",
"city": "PAGELAND",
"state": "SC",
"postal_code": "297282254",
"telephone_number": "843-672-2403",
"fax_number": "843-672-3299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 S PEARL ST",
"city": "PAGELAND",
"state": "SC",
"postal_code": "297282254",
"telephone_number": "843-672-2403",
"fax_number": "843-672-3299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORONINA",
"first_name": "ANASTASIA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-20",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pageland, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.