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LITTLE RIVER MEDICAL CENTER, INC.
NPI 1114241536
Dentist in Myrtle Beach, SC

Active since March 15, 2010CLIA Certified · 2 labs
8900 HIGHWAY 544, MYRTLE BEACH, SC 29588(843) 236-6200(843) 236-7900 Get Directions Write a Review

NPPES record last updated: March 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Little River Medical Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LITTLE RIVER MEDICAL CENTER, INC. (NPI 1114241536) is a healthcare organization registered as a dentist in Myrtle Beach, South Carolina and active in the NPI registry since March 2010. The organization holds 2 active CLIA laboratory certificates and lists Avangela K Criswell, Business Office Director, as its authorized official.

NPPES Registry Identity

NPI1114241536
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLITTLE RIVER MEDICAL CENTER, INC.
Location Address8900 HIGHWAY 544Myrtle Beach, SC 29588-9233
Mailing Address287 Highway 90 E Ste 5, Ste#5Little River, SC 29566-7214 · (843) 663-1013 · Fax (843) 663-1017
Phone(843) 236-6200
Fax(843) 236-7900
Organization SubpartYes
Authorized OfficialAvangela K CriswellBusiness Office Director · (843) 663-1013
Enumeration DateMarch 15, 2010
Last NPPES UpdateMarch 16, 2010
✔ NPI 1114241536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 4406
Definition
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.
8900 HIGHWAY 544, Myrtle Beach, SC 29588
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Other Identifiers 1

MedicaidZA9656SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D1105989

Little River Medical Center · Loris, SC
Active · expires Oct 1, 2027
CLIA Number42D1105989
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorPamela Davis
Laboratory Phone(843) 663-1013
Laboratory LocationLittle River Medical Center3817 Main St, Loris, SC 29569
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2050133

Little River Medical Center South Strand · Myrtle Beach, SC
Active · expires Nov 19, 2026
CLIA Number42D2050133
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorDr. Luis Insignares
Laboratory Phone(843) 663-8232
Laboratory LocationLittle River Medical Center South Strand3236 Holmestown Road, Myrtle Beach, SC 29588
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Little River Medical Center, Inc.'s NPI number?

The NPI number for Little River Medical Center, Inc. is 1114241536. It was assigned to this organization in the NPPES registry on March 15, 2010.

Where is Little River Medical Center, Inc. located?

Little River Medical Center, Inc. is located at 8900 Highway 544, Myrtle Beach, SC 29588. The listed phone number is (843) 236-6200.

What is Little River Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Does Little River Medical Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Little River Medical Center, Inc. was last updated on March 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.