Individual provider Active NPI

Gina Holland Ormond, DMD

  • Dentist
  • West Columbia, SC
National Provider Identifier
1093922908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3053 Issued in SC
Practice address
1260 Lexington Dr
West Columbia, SC 29170-2176
Phone
(803) 822-3450
Fax
(803) 822-3079
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3053 SC Primary

Addresses

Primary practice location

1260 Lexington Dr
West Columbia, SC 29170-2176

Mailing address

522 Aiken Hunt Cir
Columbia, SC 29223-8420
Phone (803) 419-9106

Other identifiers 1

IdentifierTypeStateIssuer
Z30538MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midlands Technical College Dental Clinic Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093922908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 AIKEN HUNT CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292238420",
            "telephone_number": "803-419-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 LEXINGTON DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291702176",
            "telephone_number": "803-822-3450",
            "fax_number": "803-822-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORMOND",
        "first_name": "GINA",
        "middle_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z30538",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.