NPIMap

Organization Active NPI

Welvista

  • General Practice Dentistry
  • Varnville, SC
National Provider Identifier
1023527348
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WELVISTA
Practice address
395 Pine St E
Varnville, SC 29944-9617
Phone
(803) 300-7028
Fax
(803) 584-4806
NPI assigned
Sep 29, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Georgia Famuliner, RN
Title
Smiles Operations Director
Phone
(803) 584-4803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

395 Pine St E
Varnville, SC 29944-9617

Mailing address

395 Pine St E
Varnville, SC 29944-9617
Phone (803) 300-7028

National Provider Directory

National Provider Directory
Tax ID family
Welvista7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

395 Pine St E
Varnville, SC 29944
Phone (803) 300-7028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1023527348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PINE ST E",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299449617",
            "telephone_number": "803-300-7028",
            "fax_number": "803-584-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PINE ST E",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "299449617",
            "telephone_number": "803-300-7028",
            "fax_number": "803-584-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELVISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "FAMULINER",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "SMILES OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "803-584-4803",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.