Organization Active NPI

Green Barr Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Spartanburg, SC
National Provider Identifier
1124836549
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GREEN BARR ORTHODONTICS LLC
Practice address
342 S Pine St
Spartanburg, SC 29302-2617
Phone
(864) 582-5738
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Patricia Hollifield
Title
Office Administrator
Phone
(864) 582-5738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

342 S Pine St
Spartanburg, SC 29302-2617

Mailing address

342 S Pine St
Spartanburg, SC 29302-2617

Other practice location 1

5060 Highway 9
Inman, SC 29349-8005
Phone (864) 582-5738

National Provider Directory

National Provider Directory

Locations

5060 Highway 9
Inman, SC 29349
Phone (864) 582-5738

342 S Pine St
Spartanburg, SC 29302
Phone (864) 582-5738

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": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1124836549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 S PINE ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022617",
            "telephone_number": "864-582-5738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5060 Highway 9",
            "address_purpose": "LOCATION",
            "city": "Inman",
            "state": "SC",
            "postal_code": "293498005",
            "country_code": "US",
            "telephone_number": "864-582-5738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN BARR ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLLIFIELD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-582-5738"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.