Individual provider Active NPI

Jimmy A. Duensing, D.M.D.

  • Dentist
  • Columbia, SC
National Provider Identifier
1194983767
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2259 Issued in SC
Practice address
8012 Sumter Hwy
Columbia, SC 29209-5116
Phone
(803) 783-0694
NPI assigned
May 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2259 SC Primary

Addresses

Primary practice location

8012 Sumter Hwy
Columbia, SC 29209-5116

Mailing address

8012 Sumter Hwy
Columbia, SC 29209-5116
Phone (803) 783-0694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715002589 SC Order and Referring Only - DentistPractitioner - Dentist 5799098018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2259SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Holt & Duensing Dental Center PA Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1194983767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 SUMTER HWY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095116",
            "telephone_number": "803-783-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 SUMTER HWY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292095116",
            "telephone_number": "803-783-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENSING",
        "first_name": "JIMMY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.