Active NPI
Sonya Kumar, DMD
- Dentist
- Blacksburg, SC
National Provider Identifier
1053731463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10429
- Practice address
- 1119 W Cherokee St
Blacksburg, SC 29702-9221 - Phone
- (864) 839-0034
- Fax
- (864) 839-0064
- NPI assigned
- Apr 24, 2014
- Last updated
- Oct 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10429 | SC | Primary |
| General Practice Dentistry | 1223G0001X | 9832 | NC |
Addresses
Primary practice location
1119 W Cherokee St
Blacksburg, SC 29702-9221
Mailing address
1119 W Cherokee St
Blacksburg, SC 29702-9221
Phone (864) 839-0034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10429 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jim Nasim DMD PA | Dentist | Current | Accepting new patients |
| Farzaneh Keshmiri DDS PA | General Practice | Past | Accepting new patients |
Locations
1119 W Cherokee St
Blacksburg, SC 29702
Phone (864) 839-0034
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Concord, NC
- NPI 1336107291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1053731463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 W CHEROKEE ST",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "297029221",
"telephone_number": "864-839-0034",
"fax_number": "864-839-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W CHEROKEE ST",
"city": "BLACKSBURG",
"state": "SC",
"postal_code": "297029221",
"telephone_number": "864-839-0034",
"fax_number": "864-839-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "SONYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-24",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "10429",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9832",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, SC
- Paulette Inman
- Jim Nasim DMD PA (Iron City Dental Group)
- Karma Healthcare LLC (Ironcity Pharmacy)
- Karma Healthcare LLC (Iron City Pharmacy)
- Kimberly Keeter
- Dorian Mann, NP
- Medi Fare Drug and Home Health Center Inc
- Medi-Fare Drug & Home Health Center Inc
- Janeeka Sharpe Miller, M.ED, ATC
- Kimberley Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.