Organization Active NPI

Gold Hill Dentistry, PLLC

  • Dentist
  • Fort Mill, SC
National Provider Identifier
1114287042
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4692 Issued in SC
Legal business name
GOLD HILL DENTISTRY, PLLC
Practice address
2848 Pleasant Rd
Suite 104
Fort Mill, SC 29708-9215
Phone
(803) 547-4466
Fax
(803) 547-4660
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Kavi Sagunarthy, D.D.S.
Title
Owner/President
Phone
(803) 547-4466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 4692 SC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4692 SC

Addresses

Primary practice location

2848 Pleasant Rd
Suite 104
Fort Mill, SC 29708-9215

Mailing address

2848 Pleasant Rd
Suite 104
Fort Mill, SC 29708-9215
Phone (803) 547-4466

National Provider Directory

National Provider Directory

Locations

2848 Pleasant Rd
Ste 104
Fort Mill, SC 29708
Phone (803) 547-4466

Practitioners & affiliated clinicians

Practitioners 2

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": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1114287042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD",
            "address_2": "SUITE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089215",
            "telephone_number": "803-547-4466",
            "fax_number": "803-547-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 PLEASANT RD",
            "address_2": "SUITE 104",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297089215",
            "telephone_number": "803-547-4466",
            "fax_number": "803-547-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD HILL DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "SAGUNARTHY",
        "authorized_official_first_name": "KAVI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "803-547-4466",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4692",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.