Active NPI
Laura Jean Varadi, DMD
- Dentist
- McClellanville, SC
National Provider Identifier
1962917542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8975
- Practice address
- 832 Pinckney St
MC Clellanville, SC 29458-9762 - Phone
- (843) 887-3763
- NPI assigned
- Dec 5, 2017
- Last updated
- Jan 9, 2020
- 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 | 8975 | SC | Primary |
Addresses
Primary practice location
832 Pinckney St
MC Clellanville, SC 29458-9762
Mailing address
PO Box 220
MC Clellanville, SC 29458-0220
Phone (843) 345-5870
Other practice location 1
9200 113th St
Seminole, FL 33772-2800
Phone (727) 394-6064
Other practice location 2
122 S Goose Creek Blvd
Goose Creek, SC 29445
Phone (843) 764-3081
Other practice location 3
924 Tall Pine Rd
MT Pleasant, SC 29464-2990
Phone (843) 884-0701
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McClellanville Dental LLC | Current | Accepting new patients | |
| Amanda Komisarow DMD LLC | Past | Accepting new patients | |
| Pleasant Smiles Cosmetic & Family Dentistry | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- McClellanville, SC
- NPI 1194365502
-
- General Practice Dentistry
- Mount Pleasant, SC
- NPI 1326493875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1962917542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 220",
"city": "MC CLELLANVILLE",
"state": "SC",
"postal_code": "294580220",
"telephone_number": "843-345-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "832 PINCKNEY ST",
"city": "MC CLELLANVILLE",
"state": "SC",
"postal_code": "294589762",
"telephone_number": "843-887-3763"
}
],
"practiceLocations": [
{
"address_1": "9200 113th St",
"address_purpose": "LOCATION",
"city": "Seminole",
"state": "FL",
"postal_code": "337722800",
"country_code": "US",
"telephone_number": "727-394-6064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "122 S Goose Creek Blvd",
"address_purpose": "LOCATION",
"city": "Goose Creek",
"state": "SC",
"postal_code": "29445",
"country_code": "US",
"telephone_number": "843-764-3081",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "924 Tall Pine Rd",
"address_purpose": "LOCATION",
"city": "MT Pleasant",
"state": "SC",
"postal_code": "294642990",
"country_code": "US",
"telephone_number": "843-884-0701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARADI",
"first_name": "LAURA",
"middle_name": "JEAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "8975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McClellanville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.