NPIMap

Organization Active NPI

Upstate Dental

  • Dentist
  • Mauldin, SC
National Provider Identifier
1144461807
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4450 Issued in SC
Legal business name
UPSTATE DENTAL
Practice address
503 Murray Dr
Mauldin, SC 29662-2426
Phone
(864) 288-3852
NPI assigned
Mar 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Jason Allen Okuley, D.D.S.
Title
Dentist
Phone
(864) 288-3852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4450 SC Primary

Addresses

Primary practice location

503 Murray Dr
Mauldin, SC 29662-2426

Mailing address

503 Murray Dr
Mauldin, SC 29662-2426
Phone (864) 288-3852

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1144461807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MURRAY DR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622426",
            "telephone_number": "864-288-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MURRAY DR",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "296622426",
            "telephone_number": "864-288-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "OKULEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-288-3852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "4450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mauldin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.