NPIMap

Organization Active NPI

Hunt Family Dental, LLC

  • Dental Clinic/Center
  • Greenville, SC
National Provider Identifier
1073901286
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HUNT FAMILY DENTAL, LLC
Practice address
2101 Pelham Rd
Greenville, SC 29615-4006
Phone
(864) 288-5300
Fax
(864) 288-9430
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Mrs. Amelia Sims Rose
Title
Practice Adminstrator
Phone
(864) 288-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2101 Pelham Rd
Greenville, SC 29615-4006

Mailing address

2101 Pelham Rd
PO Box 25604
Greenville, SC 29615-4006
Phone (864) 288-5300

Other identifiers 1

IdentifierTypeStateIssuer
19OtherSC19

Other names 1

  • Wood Creek Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2101 Pelham Rd
Greenville, SC 29615
Phone (864) 214-3934

Practitioners & affiliated clinicians

Practitioners 5

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1073901286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PELHAM RD",
            "address_2": "PO BOX 25604",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154006",
            "telephone_number": "864-288-5300",
            "fax_number": "864-288-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154006",
            "telephone_number": "864-288-5300",
            "fax_number": "864-288-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNT FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "SIMS",
        "authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
        "authorized_official_telephone_number": "864-288-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "19",
            "identifier": "19",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.