NPIMap

Organization Active NPI

Sea Island Dentistry, P.C.

  • General Practice Dentistry
  • Beaufort, SC
National Provider Identifier
1871822957
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3813 Issued in SC
Legal business name
SEA ISLAND DENTISTRY, P.C.
Practice address
102 Sea Island Pkwy
Suite J
Beaufort, SC 29907-1563
Phone
(843) 986-0157
Fax
(843) 379-0157
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Kyle Jay Farnsworth, D.M.D.NPI 1528106705
Title
Owner/President
Phone
(843) 986-0157

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3813 SC Primary

Addresses

Primary practice location

102 Sea Island Pkwy
Suite J
Beaufort, SC 29907-1563

Mailing address

102 Sea Island Pkwy
Suite J
Beaufort, SC 29907-1563
Phone (843) 986-0157

National Provider Directory

National Provider Directory

Locations

102 Sea Island Pkwy
Ste J
Beaufort, SC 29907
Phone (843) 986-0157

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1871822957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SEA ISLAND PKWY",
            "address_2": "SUITE J",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071563",
            "telephone_number": "843-986-0157",
            "fax_number": "843-379-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SEA ISLAND PKWY",
            "address_2": "SUITE J",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071563",
            "telephone_number": "843-986-0157",
            "fax_number": "843-379-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA ISLAND DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "FARNSWORTH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "843-986-0157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.