NPIMap

Organization Active NPI

Jim Nasim DMD PA

  • General Practice Dentistry
  • Taylors, SC
National Provider Identifier
1063901635
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JIM NASIM DMD PA
Doing business as
Kenneth B. Knight DDS PA
Practice address
2830 Wade Hampton Blvd Ste 5
Taylors, SC 29687-2751
Phone
(864) 244-8121
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Jennifer A Cline
Title
Credentialing
Phone
(864) 244-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2830 Wade Hampton Blvd Ste 5
Taylors, SC 29687-2751

Mailing address

2830 Wade Hampton Blvd Ste 5
Taylors, SC 29687-2751
Phone (864) 244-8121

Other names 1

  • Kenneth B. Knight DDS PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jim Nasim DMD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2830 Wade Hampton Blvd
Ste 5
Taylors, SC 29687
Phone (864) 244-8121

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1063901635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 WADE HAMPTON BLVD STE 5",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872751",
            "telephone_number": "864-244-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 WADE HAMPTON BLVD STE 5",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872751",
            "telephone_number": "864-244-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM NASIM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "864-244-8121"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenneth B. Knight DDS PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylors, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.