Spring Valley Family Practic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

15409 Issued in SC

Legal business name

SPRING VALLEY FAMILY PRACTIC

Practice address

229 Longtown Rd
Columbia, SC 29229-8550

Phone

(803) 419-4949

Fax

(803) 419-6445

NPI assigned

May 18, 2006

Last updated

Apr 20, 2008By 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

Rutkumar JaniNPI 1164405981

Title

Owner

Phone

(803) 419-4949

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• Rutkumar P Jani, MD

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1164405981
  NPD (past) Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1205889789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LONGTOWN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298550",
            "telephone_number": "803-419-4949",
            "fax_number": "803-419-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 LONGTOWN RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298550",
            "telephone_number": "803-419-4949",
            "fax_number": "803-419-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY FAMILY PRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "RUTKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-419-4949"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SC",
            "license": "15409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154095",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131100",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T64212",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destanie Elizabeth Rose Spradley
• Nathaniel Phelps Spreare, D.C.
• Spring Oak Kathwood LLC
• Spring Valley Chiropractic
• Spring Valley Dental Associates LLC
• Milaysia Springer
• Marydith Springs, PT
• Mathew Scott Springs, M.D.
• Springtree Manor LLC
• Springup Solutions LLC

• Medical Specialty Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.