SHEM CREEK DENTAL ASSOCIATES
NPI 1134598980
Dentist - General Practice in Mount Pleasant, SC
NPI Status: Active since September 23, 2015
Contact Information
211 SIMMONS ST
MOUNT PLEASANT, SC
ZIP 29464
Phone: (843) 884-5161
- Organization
- Dentist
- General Practice
- CLIA Number: 42D2167796
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-13-2025
About SHEM CREEK DENTAL ASSOCIATES
This page provides the complete NPI Profile along with additional information for Shem Creek Dental Associates, a provider established in Mount Pleasant, South Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1134598980 assigned on September 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 8323 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert Alan Breault (Dmd)
- NPI
- 1134598980
- Provider Name
- SHEM CREEK DENTAL ASSOCIATES
- Entity Type
- Organization
- Location Address
- 211 SIMMONS ST MOUNT PLEASANT, SC 29464
- Location Phone
- (843) 884-5161
- Mailing Address
- 211 SIMMONS ST MOUNT PLEASANT, SC 29464
- Mailing Phone
- (843) 884-5161
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-23-2015
- Last Update Date
- 09-23-2015
- Code Navigator
A dentist like Shem Creek Dental Associates is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 8323
- License State
- SC
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D2167796
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 14, 2023
- Certificate Expiration Date
- June 13, 2025
- Laboratory Director
- LYNNE FURLOUGH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shem Creek Dental Associates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 5 | 9 | 8 | 9 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 10 | 9 | 16 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 0 + 9 + 1 + 6 + 9 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1134598980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912074634 | DR. ROBERT JACKSON MORRIS DMD Individual | Dentist (General Practice) | 211 SIMMONS ST MT PLEASANT, SC 29464 (843) 884-5161 |
| 1780107771 | MR. MADISON WADE CULLER D.M.D. Individual | Dentist | 211 SIMMONS ST MOUNT PLEASANT, SC 29464 (843) 884-5161 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134598980, enumerated in the NPI registry as an "organization" on September 23, 2015
The provider is located at 211 Simmons St Mount Pleasant, Sc 29464 and the phone number is (843) 884-5161
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider's CLIA number is 42D2167796 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 23, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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