NPIMap

Organization Active NPI

Trident Pain Center

  • Non-Pharmacy Dispensing Site
  • West Columbia, SC
National Provider Identifier
1104602754
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
TRIDENT PAIN CENTER
Practice address
176 McSwain Dr
West Columbia, SC 29169-4825
Phone
(843) 797-3636
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Janet Agee
Title
Billing Manager
Phone
(843) 797-3636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

176 McSwain Dr
West Columbia, SC 29169-4825

Mailing address

176 McSwain Dr
West Columbia, SC 29169-4825
Phone (843) 797-3636

National Provider Directory

National Provider Directory
Tax ID family
Trident Pain Center LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFCAA

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1104602754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "843-797-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 MCSWAIN DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694825",
            "telephone_number": "843-797-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIDENT PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "AGEE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "843-797-3636"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 7, 2023; 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.