NPIMap

Organization Active NPI

West Ashley Family Dentistry, PA

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1902221757
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4458 Issued in SC
Legal business name
WEST ASHLEY FAMILY DENTISTRY, PA
Practice address
811 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7187
Phone
(843) 571-7951
Fax
(843) 571-7952
NPI assigned
Mar 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Dr. James William Dickert Jr., DMDNPI 1760647911
Title
Dentist
Phone
(843) 571-7951

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 4458 SC Primary

Addresses

Primary practice location

811 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7187

Mailing address

811 Saint Andrews Blvd
Suite B
Charleston, SC 29407-7187
Phone (843) 571-7951

National Provider Directory

National Provider Directory

Locations

811 Saint Andrews Blvd
Ste B
Charleston, SC 29407
Phone (843) 571-7951

Practitioners & affiliated clinicians

Practitioners 3

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": "1393804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1902221757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SAINT ANDREWS BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077187",
            "telephone_number": "843-571-7951",
            "fax_number": "843-571-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 SAINT ANDREWS BLVD",
            "address_2": "SUITE B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077187",
            "telephone_number": "843-571-7951",
            "fax_number": "843-571-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ASHLEY FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "DICKERT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "843-571-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 3, 2014; 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.