NPIMap

Organization Active NPI

Pickens Dental Associates, PA

  • General Practice Dentistry
  • Pickens, SC
National Provider Identifier
1144209651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2652 Issued in SC
Legal business name
PICKENS DENTAL ASSOCIATES, PA
Practice address
504 Hampton Ave
Pickens, SC 29671-2610
Phone
(864) 878-7915
Fax
(864) 878-7960
NPI assigned
Jan 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph Daniel Hinton, DMDNPI 1679552194
Title
President
Phone
(864) 878-7915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2652 SC Primary

Addresses

Primary practice location

504 Hampton Ave
Pickens, SC 29671-2610

Mailing address

504 Hampton Ave
Pickens, SC 29671-2610
Phone (864) 878-7915

Other identifiers 1

IdentifierTypeStateIssuer
ZA9783MedicaidSC

National Provider Directory

National Provider Directory

Locations

504 Hampton Ave
Pickens, SC 29671
Phone (864) 878-7915

Practitioners & affiliated clinicians

Practitioners 3

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": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144209651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HAMPTON AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712610",
            "telephone_number": "864-878-7915",
            "fax_number": "864-878-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HAMPTON AVE",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296712610",
            "telephone_number": "864-878-7915",
            "fax_number": "864-878-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HINTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-878-7915",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9783",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickens, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.