Active NPI
Pickens Family Dentistry LLC
- Dentist
- Pickens, SC
National Provider Identifier
1093180283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4031
- Legal business name
- PICKENS FAMILY DENTISTRY LLC
- Practice address
- 829 Pendleton St
Pickens, SC 29671-2578 - Phone
- (864) 878-3501
- Fax
- (864) 878-3502
- NPI assigned
- Dec 14, 2015
- Last updated
- Dec 14, 2015
- 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
- Ryan Patrick Macrae, DMD
- Title
- Owner-President
- Phone
- (864) 878-3501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4031 | SC | Primary |
Addresses
Primary practice location
829 Pendleton St
Pickens, SC 29671-2578
Mailing address
829 Pendleton St
Pickens, SC 29671-2578
Phone (864) 878-3501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407947534 | Other | SC | NPI |
National Provider Directory
National Provider DirectoryLocations
829 Pendleton St
Pickens, SC 29671
Phone (864) 878-3501
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Pickens, SC
- NPI 1215310248
-
- General Practice Dentistry
- Pickens, SC
- NPI 1346254190
-
- General Practice Dentistry
- Pickens, SC
- NPI 1235490640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450051200000",
"number": "1093180283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "829 PENDLETON ST",
"city": "PICKENS",
"state": "SC",
"postal_code": "296712578",
"telephone_number": "864-878-3501",
"fax_number": "864-878-3502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 PENDLETON ST",
"city": "PICKENS",
"state": "SC",
"postal_code": "296712578",
"telephone_number": "864-878-3501",
"fax_number": "864-878-3502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PICKENS FAMILY DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-14",
"last_updated": "2015-12-14",
"status": "A",
"authorized_official_last_name": "MACRAE",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER-PRESIDENT",
"authorized_official_telephone_number": "864-878-3501",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4031",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1407947534",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pickens, SC
- William Pennington III, D.M.D
- Katherine French Penrod
- Pickens County EMS
- Pickens Dental Associates, PA
- Pickens Family Chiropractic, LLC
- Pickens Family Practice (Oaktree Medical Centre, PC)
- Pickens Family Practice (Oaktree Medical Centre)
- Pickens Skilled Nursing, LLC (Manna Post Acute)
- Pickens Surgical , P.C.
- Harold Sedgwick Plitt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.