Organization Active NPI

Whitney Road Dental Health Center, P.C.

  • General Practice Dentistry
  • Spartanburg, SC
National Provider Identifier
1154720209
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2464 Issued in SC
Legal business name
WHITNEY ROAD DENTAL HEALTH CENTER, P.C.
Practice address
371 Whitney Rd
Spartanburg, SC 29303-3143
Phone
(864) 515-0485
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dan Spears
Title
Owner/President
Phone
(864) 515-0485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2464 SC Primary

Addresses

Primary practice location

371 Whitney Rd
Spartanburg, SC 29303-3143

Mailing address

371 Whitney Rd
Spartanburg, SC 29303-3143
Phone (864) 515-0485

Other names 1

  • Sparkle City Dental Doing business as

National Provider Directory

National Provider Directory

Locations

371 Whitney Rd
Spartanburg, SC 29303
Phone (864) 479-8841

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1154720209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 WHITNEY RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033143",
            "telephone_number": "864-515-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 WHITNEY RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033143",
            "telephone_number": "864-515-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITNEY ROAD DENTAL HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "864-515-0485"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkle City Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2014; 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.