Indigo Dentistry West

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INDIGO DENTISTRY WEST

Practice address

113 Medical Cir
West Columbia, SC 29169-3655

Phone

(803) 796-9312

NPI assigned

May 30, 2021

Last updated

May 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer L Rains

Title

Owner

Phone

(803) 348-7401

Specialties & licenses 1

Addresses

Locations

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.

• Laura Emily Walters, DMD

  • Dentist
  • West Columbia, SC
  • NPI 1417401456
  NPD

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

{
    "created_epoch": "1622332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622332800000",
    "number": "1124694260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-348-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693655",
            "telephone_number": "803-796-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO DENTISTRY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-30",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-348-7401"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Douglass Hydrick
• Stephen Matthew Hypes, D.O.
• Ahmed Mohamed Ibrahim, PHARMD
• Ruth A Iglesias, LMSW
• Sara Chandler Finney Inabinet, M.D.
• Infinity Home Care 365 LLC.
• Infinity One Corporation, Inc. (Infinity One Healthcare)
• Corinne R Ingle, ANP
• Insight Counseling & Consulting, LLC
• Kamilyn Insley, OTR

• General Practice Dentistry in West Columbia, SC
• Providers in West Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2021; 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.