Organization Active NPI

Sweetgrass Plastic Surgery LLC

  • Plastic and Reconstructive Surgery Physician
  • Summerville, SC
National Provider Identifier
1972917680
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD28924 Issued in SC
Legal business name
SWEETGRASS PLASTIC SURGERY LLC
Practice address
102 W 8TH North St
Summerville, SC 29483-6656
Phone
(843) 471-1135
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Dr. Dennis K Schimpf, M.D.
Title
Owner
Phone
(843) 471-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X MD28924 SC Primary

Addresses

Primary practice location

102 W 8TH North St
Summerville, SC 29483-6656

Mailing address

102 W 8TH North St
Summerville, SC 29483-6656
Phone (843) 471-1135

National Provider Directory

National Provider Directory

Locations

1014 Saint Andrews Blvd
#310
Charleston, SC 29407

265 Gardners Cir
Kiawah Island, SC 29455
Phone (843) 203-3386

218 Brighton Park Blvd
Ste 101
Summerville, SC 29486
Phone (843) 264-7973

102 W 8th North St
Ste B
Summerville, SC 29483
Phone (843) 471-1135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1972917680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 8TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836656",
            "telephone_number": "843-471-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 8TH NORTH ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836656",
            "telephone_number": "843-471-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETGRASS PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "SCHIMPF",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-471-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "SC",
            "license": "MD28924",
            "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 Dec 4, 2014; 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.