Organization Active NPI

John R White DDS & Christopher N Siachos

  • Customized Equipment (DME)
  • Greenville, SC
National Provider Identifier
1083950042
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
JOHN R WHITE DDS & CHRISTOPHER N SIACHOS
Doing business as
CLEVELAND STREET FAMILY DENTISTRY
Practice address
1352 Cleveland St Ste a
Greenville, SC 29607-2437
Phone
(864) 271-4006
Fax
(864) 271-4370
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Dr. John R White, DDS
Title
Doctor
Phone
(864) 271-4006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1352 Cleveland St Ste a
Greenville, SC 29607-2437

Mailing address

1352 Cleveland St Ste a
Greenville, SC 29607-2437
Phone (864) 271-4006

Other names 1

  • CLEVELAND STREET FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Street Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1352 Cleveland St
Ste A
Greenville, SC 29607
Phone (864) 271-4006

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1083950042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 CLEVELAND ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072437",
            "telephone_number": "864-271-4006",
            "fax_number": "864-271-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 CLEVELAND ST STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072437",
            "telephone_number": "864-271-4006",
            "fax_number": "864-271-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R WHITE DDS & CHRISTOPHER N SIACHOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-271-4006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLEVELAND STREET FAMILY DENTISTRY",
            "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 19, 2012; 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.