NPIMap

Organization Active NPI

Acuity Dentistry and Orthodontics

  • Dentist
  • Summerville, SC
National Provider Identifier
1922546506
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4227 Issued in SC
Legal business name
ACUITY DENTISTRY AND ORTHODONTICS
Practice address
953 Orangeburg Rd Ste a
Summerville, SC 29483-8941
Phone
(843) 261-2001
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Dr. Keith Stanley Wickizer, DMD MS
Title
Owner
Phone
(843) 261-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4227 SC Primary

Addresses

Primary practice location

953 Orangeburg Rd Ste a
Summerville, SC 29483-8941

Mailing address

953 Orangeburg Rd Ste a
Summerville, SC 29483-8941
Phone (843) 261-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1922546506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 ORANGEBURG RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838941",
            "telephone_number": "843-261-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 ORANGEBURG RD STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838941",
            "telephone_number": "843-261-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUITY DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "WICKIZER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-261-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.