Individual provider Active NPI

Heather K Kilpatrick, DMD

  • General Practice Dentistry
  • Society Hill, SC
National Provider Identifier
1841586310
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8328 Issued in SC
Practice address
737 S Main St
Society Hill, SC 29593-8972
Phone
(866) 815-9845
Fax
(800) 882-4690
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10305A IN
Dentist 122300000X 5969 AL
General Practice Dentistry 1223G0001X 8328 SC Primary

Addresses

Primary practice location

737 S Main St
Society Hill, SC 29593-8972

Mailing address

PO Box 1090
Hartsville, SC 29551-1090
Phone (843) 857-0111

Other identifiers 1

IdentifierTypeStateIssuer
ZX8328MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218003830 SC Practitioner - Dentist 4688933203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5969ALMDDentist
10305AINMDGeneral Practice Dentistry
8328SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caresouth Carolina, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Caresouth Carolina, Inc. Current Accepting new patients
Sweet Dreams Nurse Anesthesiology of SC LLC Past Accepting new patients
Caresouth Carolina, Inc Past Accepting new patients
Caresouth Carolina Inc Dentist Past Accepting new patients

Locations

1268 S 4th St
Hartsville, SC 29550
Phone (843) 332-3422

737 S Main St
Society Hill, SC 29593
Phone (843) 378-3000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BACCCD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1841586310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1090",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295511090",
            "telephone_number": "843-857-0111",
            "fax_number": "843-309-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S MAIN ST",
            "city": "SOCIETY HILL",
            "state": "SC",
            "postal_code": "295938972",
            "telephone_number": "866-815-9845",
            "fax_number": "800-882-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "HEATHER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "10305A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5969",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8328",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Society Hill, SC

Sources for this page

Verify at the official NPI Registry.