Individual provider Active NPI

Lauren Elizabeth Berkey, DMD

  • General Practice Dentistry
  • Myrtle Beach, SC
National Provider Identifier
1851959753
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9379 Issued in SC
Practice address
Myrtle Beach Dental Associates
8151 Rourk Street
Myrtle Beach, SC 29572
Phone
(843) 449-4372
Fax
(843) 497-9853
NPI assigned
Jun 5, 2019
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9379 SC Primary

Addresses

Primary practice location

Myrtle Beach Dental Associates
8151 Rourk Street
Myrtle Beach, SC 29572

Mailing address

Myrtle Beach Dental Associates
8151 Rourk Street
Myrtle Beach, SC 29572
Phone (843) 449-4372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9379SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtle Beach Dental Associates PA General Practice PastSince Jul 9, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1851959753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MYRTLE BEACH DENTAL ASSOCIATES",
            "address_2": "8151 ROURK STREET",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-449-4372",
            "fax_number": "843-497-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MYRTLE BEACH DENTAL ASSOCIATES",
            "address_2": "8151 ROURK STREET",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "843-449-4372",
            "fax_number": "843-497-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKEY",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.