Organization Active NPI

Anchored Dental Implant Studio

  • Dental Clinic/Center
  • Greer, SC
National Provider Identifier
1114771870
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANCHORED DENTAL IMPLANT STUDIO
Practice address
201 Old Boiling Springs Rd
Greer, SC 29650-4227
Phone
(864) 761-0123
NPI assigned
Apr 17, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Brent Allen Ayers
Title
Ceo
Phone
(864) 561-7559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

201 Old Boiling Springs Rd
Greer, SC 29650-4227

Mailing address

201 Old Boiling Springs Rd
Greer, SC 29650-4227

National Provider Directory

National Provider Directory

Locations

201 Old Boiling Springs Rd
Greer, SC 29650
Phone (864) 297-6365

NPI Registry JSON

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1114771870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504227",
            "telephone_number": "864-761-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED DENTAL IMPLANT STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-561-7559"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.