NPIMap

Organization Active NPI

Purnell Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lexington, SC
National Provider Identifier
1174998892
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8336 Issued in SC
Legal business name
PURNELL ORTHODONTICS PC
Practice address
4574 Sunset Blvd
B
Lexington, SC 29072-9250
Phone
(803) 785-4460
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Dr. Samuel Purnell, D.M.DNPI 1639541600
Title
President
Phone
(803) 785-4460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 8336 SC Primary

Addresses

Primary practice location

4574 Sunset Blvd
B
Lexington, SC 29072-9250

Mailing address

4574 Sunset Blvd
B
Lexington, SC 29072-9250

National Provider Directory

National Provider Directory

Locations

4574 Sunset Blvd
#B
Lexington, SC 29072
Phone (803) 785-4460

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1174998892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4574 SUNSET BLVD",
            "address_2": "B",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4574 SUNSET BLVD",
            "address_2": "B",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290729250",
            "telephone_number": "803-785-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURNELL ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-785-4460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "8336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.