Organization Active NPI

Andrews Dental Center Inc

Doing business as dental office

  • Dentist
  • Andrews, SC
National Provider Identifier
1902094402
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2222 Issued in SC
Legal business name
ANDREWS DENTAL CENTER INC
Doing business as
dental office
Practice address
429 E Brooks Rd
Andrews, SC 29510-4041
Phone
(843) 215-0579
Fax
(843) 215-0650
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Cornelius Johnathan Beck Jr., DDS
Title
Owner
Phone
(843) 215-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2222 SC Primary

Addresses

Primary practice location

429 E Brooks Rd
Andrews, SC 29510-4041

Mailing address

PO Box 2550
Murrells Inlet, SC 29576-2550
Phone (843) 215-0579

Other names 1

  • dental office Doing business as

National Provider Directory

National Provider Directory

Locations

429 E Brooks Rd
Andrews, SC 29510
Phone (843) 215-0579

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1902094402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2550",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762550",
            "telephone_number": "843-215-0579",
            "fax_number": "843-215-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E BROOKS RD",
            "city": "ANDREWS",
            "state": "SC",
            "postal_code": "295104041",
            "telephone_number": "843-215-0579",
            "fax_number": "843-215-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREWS DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "JOHNATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-215-0579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andrews, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.