Active NPI
James Everett Case II, DMD
- Dentist
- Clover, SC
National Provider Identifier
1114445871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9013
- Practice address
- 209 Latitude LN
Clover, SC 29710-8114 - Phone
- (803) 619-4511
- Fax
- (803) 619-4586
- NPI assigned
- Sep 1, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9013 | SC | Primary |
Addresses
Primary practice location
209 Latitude LN
Clover, SC 29710-8114
Mailing address
PO Box 5473
Clover, SC 29710-5006
Phone (803) 619-4511
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9013 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Professionals of South Carolina, P.C. | 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.
-
- General Practice Dentistry
- Clover, SC
- NPI 1619423449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114445871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5473",
"city": "CLOVER",
"state": "SC",
"postal_code": "297105006",
"telephone_number": "803-619-4511",
"fax_number": "803-619-4586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 LATITUDE LN",
"city": "CLOVER",
"state": "SC",
"postal_code": "297108114",
"telephone_number": "803-619-4511",
"fax_number": "803-619-4586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASE",
"first_name": "JAMES",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.