Active NPI
Louis C. Sigmund II, DDS
- Dentist
- Beaufort, SC
National Provider Identifier
1972070829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9586
- Practice address
- 674 Blvd de France
Beaufort, SC 29902 - Phone
- (843) 228-3500
- NPI assigned
- Oct 30, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10959097-9921 | UT | |
| Dentist | 122300000X | 9586 | SC | Primary |
Addresses
Primary practice location
674 Blvd de France
Beaufort, SC 29902
Mailing address
674 Blvd de France
Beaufort, SC 29902
Phone (843) 228-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10959097-9921 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Current | Accepting new patients | |
| Beaufort Jasper Hampton Comprehensive Health Services, Inc | Current | Accepting new patients |
Locations
721 Okatie Hwy
Okatie, SC 29909
721 N Okatie Hwy
#170
Ridgeland, SC 29936
721 N Okatie Hwy
Ridgeland, SC 29936
Phone (843) 987-7492
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EICIBD
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.
-
- Federally Qualified Health Center (FQHC)
- Ridgeland, SC
- NPI 1649276148
-
- Federally Qualified Health Center (FQHC)
- Varnville, SC
- NPI 1073318259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1972070829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "674 BLVD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-228-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "674 BLVD DE FRANCE",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29902",
"telephone_number": "843-228-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGMUND",
"first_name": "LOUIS",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-30",
"last_updated": "2021-10-27",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "10959097-9921",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.