Murtuza Ansari, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC3819 Issued in SC

Practice address

1340 Park St
Orangeburg, SC 29115-4880

Phone

(803) 534-2507

NPI assigned

Apr 28, 2006

Last updated

Mar 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1912964354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 PARK ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 PARK ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291154880",
            "telephone_number": "803-534-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "MURTUZA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "BCBSAL 880-146",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3819",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID",
            "identifier": "01326192",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorene R Anderson, CRNA
• Nicole Lanee' Anderson, MSW, LISW-CP
• Perrin Deandre Anderson, CERTIFIED HAIR LOSS
• Angel in a Scrub LLC
• Ibn Ansari, DPM
• John Fitzgerald Ansley, MD
• Lauren Rebecca Arant, PHARMD
• Aliesha Argrow
• Articularis Healthcare Group Inc (Arthritis & Osteoorosis Center)
• Beverly Asbury

• General Practice Dentistry in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.