Organization Active NPI

John L. Glymph, Jr., D.M.D., P.a.

  • Dentist
  • Greenville, SC
National Provider Identifier
1114182268
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2360 Issued in SC
Legal business name
JOHN L. GLYMPH, JR., D.M.D., P.A.
Practice address
6A Cleveland Court
Greenville, SC 29607
Phone
(864) 271-3713
Fax
(864) 271-3719
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. John Laytin Glymph Jr., D.M.D.NPI 1003965369
Title
Dentist/Owner
Phone
(864) 271-3713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2360 SC Primary

Addresses

Primary practice location

6A Cleveland Court
Greenville, SC 29607

Mailing address

6A Cleveland Court
Greenville, SC 29607
Phone (864) 271-3713

National Provider Directory

National Provider Directory

Locations

6A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-3713

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1114182268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6A CLEVELAND COURT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-271-3713",
            "fax_number": "864-271-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6A CLEVELAND COURT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "864-271-3713",
            "fax_number": "864-271-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. GLYMPH, JR., D.M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "GLYMPH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LAYTIN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-271-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "2360",
            "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 Jul 28, 2008; 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.