NPIMap

Organization Active NPI

Greenville Dental Sleep Medicine, LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
National Provider Identifier
1144772500
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GREENVILLE DENTAL SLEEP MEDICINE, LLC
Practice address
1352 Cleveland St
A
Greenville, SC 29607-2437
Phone
(864) 371-6032
Fax
(864) 271-4370
NPI assigned
Nov 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Dr. John R White, DDS
Title
Owner
Phone
(864) 567-0107

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X SC
Durable Medical Equipment & Medical Supplies 332B00000X SC Primary

Addresses

Primary practice location

1352 Cleveland St
A
Greenville, SC 29607-2437

Mailing address

1352 Cleveland St
A
Greenville, SC 29607-2437
Phone (864) 371-6032

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1144772500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 CLEVELAND ST",
            "address_2": "A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072437",
            "telephone_number": "864-371-6032",
            "fax_number": "864-271-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 CLEVELAND ST",
            "address_2": "A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296072437",
            "telephone_number": "864-371-6032",
            "fax_number": "864-271-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE DENTAL SLEEP MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-567-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.