Organization Active NPI

Erin Pruitt, DMD, PA

  • Dental Clinic/Center
  • Greenville, SC
National Provider Identifier
1154722163
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4460 Issued in SC
Legal business name
ERIN PRUITT, DMD, PA
Practice address
870 Cleveland St Ste 2C
Greenville, SC 29601-4428
Phone
(864) 282-8555
NPI assigned
Sep 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Authorized official

Name
Erin Pruitt, D.M.D.
Title
Dentist
Phone
(864) 282-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4460 SC Primary

Addresses

Primary practice location

870 Cleveland St Ste 2C
Greenville, SC 29601-4428

Mailing address

870 Cleveland St Ste 2C
Greenville, SC 29601-4428
Phone (864) 282-8555

Other identifiers 1

IdentifierTypeStateIssuer
ZX4460MedicaidSC

National Provider Directory

National Provider Directory

Locations

870 Cleveland St
Ste 2C
Greenville, SC 29601
Phone (864) 282-8555

NPI Registry JSON

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410220800000",
    "number": "1154722163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST STE 2C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014428",
            "telephone_number": "864-282-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST STE 2C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014428",
            "telephone_number": "864-282-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN PRUITT, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-282-8555",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4460",
            "state": "SC"
        }
    ],
    "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 Sep 9, 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.