Active NPI
Dr. Richard M. Sasnett
- Pediatric Dentistry
- Columbia, SC
National Provider Identifier
1184058547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 1154
- Legal business name
- DR. RICHARD M. SASNETT
- Practice address
- 2302 Bush River Rd
Columbia, SC 29210-5649 - Phone
- (803) 798-8675
- Fax
- (803) 798-4753
- NPI assigned
- Aug 21, 2013
- 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
- Richard Sasnett, DDS
- Title
- President
- Phone
- (809) 798-8675
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 1154 | SC | Primary |
Addresses
Primary practice location
2302 Bush River Rd
Columbia, SC 29210-5649
Mailing address
2302 Bush River Rd
Columbia, SC 29210-5649
Phone (803) 798-8675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z11540 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377043200000",
"number": "1184058547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 BUSH RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105649",
"telephone_number": "803-798-8675",
"fax_number": "803-798-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 BUSH RIVER RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105649",
"telephone_number": "803-798-8675",
"fax_number": "803-798-4753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. RICHARD M. SASNETT",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-21",
"last_updated": "2013-08-21",
"status": "A",
"authorized_official_last_name": "SASNETT",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "809-798-8675",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "1154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z11540",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.