Spectrum Integrative Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SPECTRUM INTEGRATIVE DENTISTRY

Doing business as

Southern Smiles

Practice address

2131 Woodruff Rd Ste 1100
Greenville, SC 29607-5934

Phone

(864) 288-8388

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Knause, DMDNPI 1235548041

Title

President

Phone

(864) 915-0341

Specialties & licenses 1

Addresses

Other names 1

• Southern Smiles Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Knause, DMD

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1235548041
  NPD Authorized official

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1154934354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 LONDON CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296503290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD STE 1100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075934",
            "telephone_number": "864-288-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM INTEGRATIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "KNAUSE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-915-0341",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Eugene Spears IV, MD
• Jodie Lynn Speas, RPH
• Specialized Alternative for Families and Youth of South Carolina, Inc. (SAFY of South Carolina - Greenville)
• Spectrum ABA
• Spectrum Allies. Inc (Success on the Spectrum)
• Speechworks, Inc. (Therapy360)
• Kimberly B Speer, FNP
• Amanda Melanie Speese, CNP
• Christopher David Spellicy, MSN, APRN, PMHNP-BC
• Alyssa K Spence

• Dental Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.