Individual provider Active NPI

Andrea Renee Grant-Guess, DDS

  • General Practice Dentistry
  • Hardeeville, SC
National Provider Identifier
1982648119
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4081 Issued in SC
Practice address
300 New River Pkwy
Suite 1
Hardeeville, SC 29927-4450
Phone
(843) 208-2888
Fax
(888) 239-7509
NPI assigned
Jun 16, 2006
Last updated
May 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4081 SC Primary

Addresses

Primary practice location

300 New River Pkwy
Suite 1
Hardeeville, SC 29927-4450

Mailing address

35 Timber Marsh LN
Hilton Head, SC 29926-2369
Phone (843) 342-3890

Other identifiers 1

IdentifierTypeStateIssuer
SC 4081ZXMedicaidSC

Other names 1

  • Dr. Andrea Renee Grant Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150516000168 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406175603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The New River Dental Center, PC General Practice CurrentSince Nov 30, 2006 Accepting new patients

Locations

300 New River Pkwy
Ste 1
Hardeeville, SC 29927
Phone (843) 208-2888

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1982648119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TIMBER MARSH LN",
            "city": "HILTON HEAD",
            "state": "SC",
            "postal_code": "299262369",
            "telephone_number": "843-342-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEW RIVER PKWY",
            "address_2": "SUITE 1",
            "city": "HARDEEVILLE",
            "state": "SC",
            "postal_code": "299274450",
            "telephone_number": "843-208-2888",
            "fax_number": "888-239-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT-GUESS",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SC 4081ZX",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GRANT",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hardeeville, SC

Sources for this page

Verify at the official NPI Registry.