REBEKAH GOULD ANDERSON (NPI# 1245861749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245861749 |
| Entity Type | Individual |
| Full Name | REBEKAH GOULD ANDERSON |
| Credential | DMD |
| Practice Address |
1807 Crowne Commons Way Suite F10 Johns Island SC 29455 |
| Mailing Address |
1807 Crowne Commons Way Ste F10 Johns Island SC 29455-4931 |
| Practice Telephone | 7047790182 |
| Mailing Telephone | 8438233533 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 9492 | SC | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
9492 | SC | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
9678 | SC | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1350 Grove Park Dr, Orangeburg, SC 291152455 | 8039174220 |
| Street Address |
1807 CROWNE COMMONS WAY SUITE F10 |
| City | JOHNS ISLAND |
| State | SC |
| Zip Code | 29455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164837951 | Marcus A Salo | Family Medicine | 1807 Crowne Commons Way, Johns Island, SC 29455-4931 | 2014-06-30 |
| 1497389423 | Roper Saint Francis Physicians Network | Family Medicine | 1807 Crowne Commons Way, Johns Island, SC 29455-4931 | 2020-02-28 |
| 1609424142 | Drs. Gioche and White, LLC | Clinic/Center | 1807 Crowne Commons Way, F6, Johns Island, SC 29455 | 2019-08-28 |
| 1740760701 | Elysa Dutton | Nurse Practitioner | 1807 Crowne Commons Way, Johns Island, SC 29455-4931 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216863 | Live for Wellness Johns Island | Chiropractor | 1803 Crowne Commons Way, Suite 1-a, Johns Island, SC 29455 | 2019-10-09 |
| 1588180186 | Ashley Nicole Cox | Specialist/Technologist | 24 Surfsong Rd, Johns Island, SC 29455 | 2017-08-16 |
| 1568820173 | Bernard Mansheim | Internal Medicine | 3226 Maybank Highway Ste 1a, Johns Island, SC 29455 | 2016-02-10 |
| 1932527843 | Gordon Theodore Davis | General Practice | 3226 Maybank Highway Suite 1-a, Barrier Islands Free Medical Clinics, Johns Island, SC 29455 | 2014-03-29 |
| 1568749596 | Dawn Lachelle Sykes | Chiropractor | 3029 Maybank Highway, Suite 1, Johns Island, SC 29455 | 2011-11-04 |
| 1265765994 | Raymond David Mulligan | Psychologist | 431 Snowy Egret Lane, Kiawah Island, SC 29455 | 2009-09-14 |
| 1912172636 | Nicole Marie Juntz | Chiropractor | 3069 Maybank Hwy, Johns Island, SC 29455 | 2008-04-23 |
| 1972701803 | Village Optical LLC | Optometrist | 634 Freshfields Drive, Johns Island, SC 29455 | 2007-07-03 |
| 1902982945 | John Patrick Howard | Dentist | 1684 Brownswood Rd., Our Lady of Mercy Outreach, Johns Island, SC 29455 | 2006-10-31 |
| 1265515795 | Vincents Drug Store and Soda Fountain | Pharmacy | 110 Planted Row Lane, Johns Island, SC 29455 | 2006-10-20 |
| Find all providers in zip 29455 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720228927 | Jing Zhou | Dentist | 3425 Maybank Hwy Ste B, Johns Island, SC 29455-4821 | 2009-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1518570902 | Foster Orthodontics, Pa | Dentist | 100 Hamlet Cir, Goose Creek, SC 29445-7111 | 2020-08-26 |
| 1740893122 | Foster Orthodontics, Pa | Dentist | 625 Skylark Dr, Charleston, SC 29407-5782 | 2020-08-26 |
| 1629602065 | Keith William Street | Dentist | 1460 John B White Sr Blvd Ste 1-5, Spartanburg, SC 29306-3996 | 2020-02-25 |
| 1225678931 | Rekha Wadhwa | Dentist | 100 Woodruff Place Cir, Simpsonville, SC 29681-3672 | 2020-01-10 |
| 1952965345 | Align America Sc, LLC | Dentist | 259 Textile Way Ste 103, Fort Mill, SC 29715-4550 | 2019-05-01 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1699267021 | Trevan Samp | Dentist | 22 Westedge St Ste 106b, Charleston, SC 29403-6983 | 2018-06-01 |
| 1548759244 | Smile Doctors of South Carolina, P.C. | Dentist | 105 Ben Casey Dr Ste 109, Fort Mill, SC 29708-8557 | 2018-05-08 |
| 1386158541 | Katherine Dean Solomon | Dentist | 102 Buckwalter Pkwy Ste 3j, Bluffton, SC 29910-4130 | 2017-11-27 |
| Find all providers with the same taxonomy | ||||
| City | JOHNS ISLAND |
| Zip Code | 29455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.