Active NPI
Lauren Elizabeth Berkey, DMD
- General Practice Dentistry
- Myrtle Beach, SC
National Provider Identifier
1851959753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9379
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 9379 | SC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myrtle Beach Dental Associates PA | General Practice | Past | 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.
-
- General Practice Dentistry
- Myrtle Beach, SC
- NPI 1558470450
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.