Todd S Blevins, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3485 Issued in SC

Practice address

622 S Main St
Mullins, SC 29574-3512

Phone

(843) 464-6162

Fax

(843) 464-6162

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Blevins Dentistry, PA

  • Dental Clinic/Center
  • Mullins, SC
  • NPI 1205619418
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922084664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743512",
            "telephone_number": "843-464-6162",
            "fax_number": "843-464-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743512",
            "telephone_number": "843-464-6162",
            "fax_number": "843-464-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "TODD",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z34856",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Berry, RN, BSN
• Bethea Medical Transport
• John C Bilder, DMD
• Blessings Home Care LLC
• Blevins Dentistry, PA
• Bomac Inc
• Bones III Medical, LLC
• William D Brock
• Christopher Brockington, BS, MS, MSPC
• Brandie Lee Brogdon, LPN

• General Practice Dentistry in Mullins, SC
• Providers in Mullins, 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 Jul 8, 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.