NPIMap

Organization Active NPI

Flat Rock Family Dentistry, P.a.

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1114101557
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3762 Issued in SC
Legal business name
FLAT ROCK FAMILY DENTISTRY, P.A.
Practice address
1803 Woodruff Rd
Greenville, SC 29607-5936
Phone
(864) 297-5268
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Chris Rouse, D.M.D.
Title
Dentist
Phone
(864) 297-5268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3762 SC Primary

Addresses

Primary practice location

1803 Woodruff Rd
Greenville, SC 29607-5936

Mailing address

1803 Woodruff Rd
Greenville, SC 29607-5936
Phone (864) 297-5268

National Provider Directory

National Provider Directory

Locations

1803 Woodruff Rd
Greenville, SC 29607
Phone (864) 297-5268

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1114101557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075936",
            "telephone_number": "864-297-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075936",
            "telephone_number": "864-297-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAT ROCK FAMILY DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-297-5268",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 20, 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.