Active NPI
Erin Heather McKenzie, DDS
- Endodontics
- Mount Pleasant, SC
National Provider Identifier
1992998512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 9552
- Practice address
- 910 Johnnie Dodds Blvd Ste 120
Mount Pleasant, SC 29464-5909 - Phone
- (843) 288-5010
- NPI assigned
- Aug 27, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 21943 | MA | |
| Endodontics | 1223E0200X | 9552 | SC | Primary |
Addresses
Primary practice location
910 Johnnie Dodds Blvd Ste 120
Mount Pleasant, SC 29464-5909
Mailing address
1010 Ocean Blvd Unit 203
Isle of Palms, SC 29451-1701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21943 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1992998512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 OCEAN BLVD UNIT 203",
"city": "ISLE OF PALMS",
"state": "SC",
"postal_code": "294511701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 JOHNNIE DODDS BLVD STE 120",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294645909",
"telephone_number": "843-288-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "ERIN",
"middle_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "21943",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "SC",
"license": "9552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.