Trailhead Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TRAILHEAD FAMILY DENTISTRY LLC

Practice address

28 S Main St
Travelers Rest, SC 29690-1810

Phone

(864) 834-8001

Fax

(864) 834-5563

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Christopher Price, DMD

Title

Owner

Phone

(864) 834-8001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Practitioners 1

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

• Asa Duncan Shirley III, DMD

  • Dentist
  • Travelers Rest, SC
  • NPI 1891918512
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1063829489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901810",
            "telephone_number": "864-834-8001",
            "fax_number": "864-834-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901810",
            "telephone_number": "864-834-8001",
            "fax_number": "864-834-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILHEAD FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-834-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira Tikhonova
• Anthony B Tomkins, MSPT
• Gerald Drew Toney
• TR Talkers, LLC
• Trailhead Chiropractic
• Trailside Counseling
• Travelers Rest Internal Medicine, LLC
• Tristate Medical Services
• Laura H. Turman, RPH.
• Upcountry Counseling and Mental Health Services, LLC

• General Practice Dentistry in Travelers Rest, SC
• Providers in Travelers Rest, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.