Organization Active NPI

Endodontic Associates of Charleston

  • Dental Clinic/Center
  • Charleston, SC
National Provider Identifier
1871848218
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4433 Issued in SC
Legal business name
ENDODONTIC ASSOCIATES OF CHARLESTON
Practice address
349 Folly Rd Ste 1C
Charleston, SC 29412-2508
Phone
(843) 793-1177
NPI assigned
Jul 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Alison Chandler
Title
Owner
Phone
(843) 793-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4433 SC Primary

Addresses

Primary practice location

349 Folly Rd Ste 1C
Charleston, SC 29412-2508

Mailing address

349 Folly Rd Ste 1C
Charleston, SC 29412-2508
Phone (843) 793-1177

Other identifiers 1

IdentifierTypeStateIssuer
ZX4433MedicaidSC

National Provider Directory

National Provider Directory

Locations

349 Folly Rd
Ste 1C
Charleston, SC 29412
Phone (843) 793-1177

Practitioners & affiliated clinicians

Practitioners 1

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": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1871848218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 FOLLY RD STE 1C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122508",
            "telephone_number": "843-793-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FOLLY RD STE 1C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122508",
            "telephone_number": "843-793-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF CHARLESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-793-1177"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4433",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.