NPIMap

Organization Active NPI

Nina H. Jones DDS, LLC

Doing business as Blythewood Village Dentistry

  • General Practice Dentistry
  • Blythewood, SC
National Provider Identifier
1063136463
Registry record updated Oct 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NINA H. JONES DDS, LLC
Doing business as
Blythewood Village Dentistry
Practice address
745 University Village Dr
Blythewood, SC 29016-7613
Phone
(803) 754-9160
Fax
(803) 754-9162
NPI assigned
Sep 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2022

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

Authorized official

Name
Dr. Nina H. Jones, DDS
Title
Owner
Phone
(803) 754-9160

Specialties & licenses 1

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

Addresses

Primary practice location

745 University Village Dr
Blythewood, SC 29016-7613

Mailing address

745 University Village Dr
Blythewood, SC 29016-7613
Phone (803) 754-9160

Other names 1

  • Blythewood Village Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664668800000",
    "number": "1063136463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 UNIVERSITY VILLAGE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167613",
            "telephone_number": "803-754-9160",
            "fax_number": "803-754-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 UNIVERSITY VILLAGE DR",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290167613",
            "telephone_number": "803-754-9160",
            "fax_number": "803-754-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA H. JONES DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-10-02",
        "certification_date": "2022-10-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-754-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blythewood Village Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blythewood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2022; 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.