Organization Active NPI

Columbia SC Emergency Dental Care USA LLC

Doing business as Emergency Dental Care USA

  • General Practice Dentistry
  • West Columbia, SC
National Provider Identifier
1811659089
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLUMBIA SC EMERGENCY DENTAL CARE USA LLC
Doing business as
Emergency Dental Care USA
Practice address
105 N 12TH St
West Columbia, SC 29169-6412
Phone
(803) 764-3320
NPI assigned
Oct 6, 2021
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Erica Shirck
Title
Chief Practice Administrator
Phone
(402) 658-4687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

105 N 12TH St
West Columbia, SC 29169-6412

Mailing address

4267 S 144TH St Ste 7
Omaha, NE 68137-1053
Phone (402) 393-2726

Other names 1

  • Emergency Dental Care USA Doing business as

National Provider Directory

National Provider Directory

Locations

105 N 12th St
West Columbia, SC 29169
Phone (803) 764-3320

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": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1811659089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4267 S 144TH ST STE 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371053",
            "telephone_number": "402-393-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N 12TH ST",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291696412",
            "telephone_number": "803-764-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA SC EMERGENCY DENTAL CARE USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "SHIRCK",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "402-658-4687"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.