Kinnara Vasamsetti Emmons, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9420 Issued in SC

Practice address

2754 Maybank Hwy
Johns Island, SC 29455-4809

Phone

(843) 559-5555

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Coastal Family Dentistry of Johns Island

  • Dentist
  • Johns Island, SC
  • NPI 1699928267
  NPD (past)
• Oak Family Dentistry PA

  • Dentist
  • Johns Island, SC
  • NPI 1710277496
  NPD (past)

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1922650647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554809",
            "telephone_number": "843-559-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2754 MAYBANK HWY",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554809",
            "telephone_number": "843-559-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "KINNARA",
        "middle_name": "VASAMSETTI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS. Gioche and White, LLC
• Taylor Dubbs, PA
• Elite Medical Services, LLC
• Lynsey Aldridge Elkins, DPT
• Natalie Emanuel, N.P.
• Eye Care Specialties Group - Kiawah
• Kristen Fabiano
• Stacy M Fairey, RDN
• Daniel Anthony Feerst
• Lynn F Feldman, DO

• General Practice Dentistry in Johns Island, SC
• Providers in Johns Island, 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 Dec 1, 2020; 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.