Big Waves Endodontics

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

BIG WAVES ENDODONTICS

Practice address

4603 Oleander Dr Ste 6
Myrtle Beach, SC 29577-5738

Phone

(843) 492-7979

Fax

(843) 492-7448

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Eric Porras, DMDNPI 1255684916

Title

Endodontist

Phone

(843) 492-7979

Specialties & licenses 1

Addresses

Locations

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.

• Benjamin Eric Porras, D.M.D.

  • Endodontics
  • Myrtle Beach, SC
  • NPI 1255684916
  NPD Authorized official

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1831931021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 STARLIT WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4603 OLEANDER DR STE 6",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775738",
            "telephone_number": "843-492-7979",
            "fax_number": "843-492-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG WAVES ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "843-492-7979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret S Bhatt, M.D.
• Alexandra Bialousow
• Craig Matthew Bieltz
• Big Little Voices LLC
• Big Wave Chiropractic L.L.C.
• Adam Tyler Biglin, D.P.M.
• Bio-Medical Applications of South Carolina, Inc. (Fresenius Medical Care Myrtle Beach)
• Eric Biscoglio
• Benjamin July Bittner, O.D.
• Nicole Bixler, LISW-CP

• Endodontics in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Endodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.