Organization Active NPI

Nicole Dahlkemper, DMD, PC

  • General Practice Dentistry
  • Mount Pleasant, SC
National Provider Identifier
1790090769
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NICOLE DAHLKEMPER, DMD, PC
Practice address
1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405
Phone
(843) 884-6166
Fax
(843) 884-1140
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Nicle L Dahlkemper, DMD
Title
Owner
Phone
(843) 884-6166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary
Dental Hygienist 124Q00000X

Addresses

Primary practice location

1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405

Mailing address

1203 Two Island CT
Suite 101
Mt Pleasant, SC 29466-7405
Phone (843) 884-6166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1790090769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-884-6166",
            "fax_number": "843-884-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 TWO ISLAND CT",
            "address_2": "SUITE 101",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294667405",
            "telephone_number": "843-884-6166",
            "fax_number": "843-884-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE DAHLKEMPER, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "DAHLKEMPER",
        "authorized_official_first_name": "NICLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-884-6166",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.