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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- West Columbia, SC
- NPI 1124793344
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.