Stephen C Chadwick, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3252 Issued in SC

Practice address

1005 Tanner Ford Blvd
Suite 102
Hanahan, SC 29410

Phone

(843) 797-6287

Fax

(843) 797-6292

NPI assigned

Feb 24, 2006

Last updated

Jan 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1972579456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 TANNER FORD BLVD",
            "address_2": "SUITE 102",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "29410",
            "telephone_number": "843-797-6287",
            "fax_number": "843-797-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 TANNER FORD BLVD",
            "address_2": "SUITE 102",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "29410",
            "telephone_number": "843-797-6287",
            "fax_number": "843-797-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "817149",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232527",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "63370",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Cain, M.A.
• Makayla Danielle Camby
• Kirt A Caton, MD
• Elizabeth M Celani, DMD
• Chadwick & Kolmodin (Modern Family Dentistry)
• Children's Hope Therapy Services, LLC
• City of Hanahan
• Joseph Brian Clark, RPH
• Coastal Kids Dental
• Coastal Kids Dental & Braces

• Dentist in Hanahan, SC
• Providers in Hanahan, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.

Verify at the official NPI Registry.