Active NPI
Whitney Road Dental Health Center, P.C.
- General Practice Dentistry
- Spartanburg, SC
National Provider Identifier
1154720209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2464
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.