Active NPI
Shauna Bailie Fletcher
- Dentist
- Summerville, SC
National Provider Identifier
1962082883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10167
- Practice address
- 1554 Central Ave Ste B
Summerville, SC 29483-5593 - Phone
- (854) 842-3262
- NPI assigned
- Apr 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10167 | SC | Primary |
Addresses
Primary practice location
1554 Central Ave Ste B
Summerville, SC 29483-5593
Mailing address
5109 Victoria Ave
North Charleston, SC 29405-4227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10167 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kari Ryan Dentistry PA | Dentist | Past | Accepting new patients |
| Craig H. Rhyne, D.M.D., LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Mt Pleasant, SC
- NPI 1497817019
-
- Dentist
- Mount Pleasant, SC
- NPI 1992093900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776729600000",
"number": "1962082883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 VICTORIA AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294054227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1554 CENTRAL AVE STE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294835593",
"telephone_number": "854-842-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLETCHER",
"first_name": "SHAUNA",
"middle_name": "BAILIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-13",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10167",
"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 Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.