Organization Active NPI

Nasim & Kennemore Holdings, LLC

  • General Practice Dentistry
  • Easley, SC
National Provider Identifier
1205306396
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NASIM & KENNEMORE HOLDINGS, LLC
Practice address
2101 Powdersville Rd
Easley, SC 29642-8920
Phone
(864) 269-5290
NPI assigned
Nov 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Christopher Sims
Title
Credentialer
Phone
(470) 552-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2101 Powdersville Rd
Easley, SC 29642-8920

Mailing address

108 Burton St
Spartanburg, SC 29301-5400
Phone (864) 576-7169

Other names 1

  • Pasui Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1205306396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURTON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015400",
            "telephone_number": "864-576-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 POWDERSVILLE RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296428920",
            "telephone_number": "864-269-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIM & KENNEMORE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "470-552-1823"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasui Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.