Adam Forehand, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8661 Issued in SC

Practice address

1470 Tobias Gadson Blvd Ste 200
Charleston, SC 29407-4925

Phone

(843) 779-9994

Fax

(843) 429-6757

NPI assigned

Oct 17, 2014

Last updated

Jun 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 19, 2020 through Nov 19, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peninsula Cosmetic and Family Dentistry, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Charleston, SC
  • NPI 1255938320
  NPD (past)

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1851795025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074925",
            "telephone_number": "843-799-9948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD STE 200",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074925",
            "telephone_number": "843-779-9994",
            "fax_number": "843-429-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOREHAND",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Lee Ford
• Lauren Strickler Ford, FNP
• Timothy M Ford, MD
• Wilson Frederick Ford, MD
• Lavonne Kelly Fore, DMD, MSD
• Jessica Forney
• John Joseph Forney, M.D.
• Amanda Forrest, PHARMD
• Brent Hudgens Forrest
• Shawntay Latrice Forrest, L.P.N

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.