LITTLE RIVER MEDICAL CENTER, INC.
NPI 1508122433
Dentist in Little River, SC

NPI Status: Active since April 04, 2012

Contact Information

4303 LIVE OAK DR
LITTLE RIVER, SC
ZIP 29566
Phone: (843) 663-8000
Fax: (843) 663-1017

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  • Organization
  • Dentist

About LITTLE RIVER MEDICAL CENTER, INC.

This page provides the complete NPI Profile along with additional information for Little River Medical Center, Inc., a provider established in Little River, South Carolina operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1508122433 assigned on April 2012. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Little River Medical Center, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Avangela K Criswell (Business Office Director)

NPI
1508122433
Provider Name
LITTLE RIVER MEDICAL CENTER, INC.
Entity Type
Organization
Location Address
4303 LIVE OAK DR LITTLE RIVER, SC 29566
Location Phone
(843) 663-8000
Location Fax
(843) 663-1017
Mailing Address
PO BOX 547 LITTLE RIVER, SC 29566
Mailing Phone
(843) 663-8000
Mailing Fax
(843) 663-1017
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-04-2012
Last Update Date
04-04-2012
Code Navigator

A dentist like Little River Medical Center, Inc. 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.

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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

Taxonomy Code
122300000X
Type
Dental Providers
License State
SC
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

(SC)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AVANGELA K CRISWELL

Authorized Official Title
BUSINESS OFFICE DIRECTOR
Authorized Official Phone
(843) 663-8017

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZA9656MEDICAID (05)SC 
424024DMEDICAID (05)NC 

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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.
1508122433
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250822446
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 2 + 2 + 4 + 4 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1508122433 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649223009 CLYDE J DELLINGER MD
Individual
Family Medicine4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-1013
1205019163LITTLE RIVER MEDICAL CENTER
Organization
Dentist4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-1013
1730342734LITTLE RIVER MEDICAL CENTER, INC.
Organization
Family Medicine4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-1013
1316102106LITTLE RIVER MEDICAL CENTER
Organization
Family Medicine4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-1013
1275808552LITTLE RIVER MEDICAL CENTER, INC.
Organization
Dentist4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1487978706LITTLE RIVER MEDICAL CENTER, INC.
Organization
Dentist4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8017
1841514163LITTLE RIVER MEDICAL CENTER, INC.
Organization
Dentist4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8017
1053471623LITTLE RIVER MEDICAL CENTER INC
Organization
Dentist4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1063473320DR. KENNETH L CRUTCHER M.D.
Individual
Family Medicine4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1114212941DR. LATISHA KEARSLEY DDS
Individual
Dentist (General Practice)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1629021076LITTLE RIVER MEDICAL CENTER INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1467448027MRS. GEORGIA LYNN PLUM APRN
Individual
Nurse Practitioner (Pediatrics)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1811913346MRS. DONNA RAE THOMPSON LMSW
Individual
Social Worker (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1437490588MRS. SARA DAVIS HARTLAUB MSW, LISW-CP
Individual
Social Worker (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1861828170 LAURA MARY NORTON PH.D.
Individual
Psychologist (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1538302716 KARLA ROBINSON NP
Individual
Nurse Practitioner (Pediatrics)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1154416097 TAANYA MANNAIN LISW-CP
Individual
Social Worker (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1265746002MS. VIKI LAMBERTUS FNP
Individual
Nurse Practitioner (Family)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000
1578596383 KAREN TISON HILLS LISW-CP
Individual
Social Worker (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 249-3424
1881905487 JAN JERNIGAN ROLLINGS LISW-CP
Individual
Social Worker (Clinical)4303 LIVE OAK DR
LITTLE RIVER, SC 29566
(843) 663-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508122433, enumerated in the NPI registry as an "organization" on April 04, 2012

The provider is located at 4303 Live Oak Dr Little River, Sc 29566 and the phone number is (843) 663-8000

This medical organization specializes in Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.