Active NPI
John R White DDS & Christopher N Siachos
- Customized Equipment (DME)
- Greenville, SC
National Provider Identifier
1083950042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Cleveland Street Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Easley, SC
- NPI 1942443908
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.