NPIMap

Organization Active NPI

Palmetto Smiles Dentistry Partnership

  • Pediatric Dentistry
  • Lexington, SC
National Provider Identifier
1922214766
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PALMETTO SMILES DENTISTRY PARTNERSHIP
Practice address
139 Whiteford Way
Lexington, SC 29072-7965
Phone
(803) 951-9100
Fax
(803) 951-1910
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Dr. Kevin M. Raines, DMDNPI 1750457222
Title
Partner
Phone
(803) 951-9100

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

139 Whiteford Way
Lexington, SC 29072-7965

Mailing address

139 Whiteford Way
Lexington, SC 29072-7965
Phone (803) 951-9100

Other identifiers 1

IdentifierTypeStateIssuer
ZA9709MedicaidSC

Other names 1

  • Palmetto Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

139 Whiteford Way
Lexington, SC 29072
Phone (803) 951-9100

Practitioners & affiliated clinicians

Practitioners 5

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1922214766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 WHITEFORD WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727965",
            "telephone_number": "803-951-9100",
            "fax_number": "803-951-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 WHITEFORD WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727965",
            "telephone_number": "803-951-9100",
            "fax_number": "803-951-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO SMILES DENTISTRY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-951-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9709",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.