Organization Active NPI

K & N Dental Group LLC

  • General Practice Dentistry
  • Spartanburg, SC
National Provider Identifier
1215337167
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
K & N DENTAL GROUP LLC
Practice address
111 Powell Mill Rd
Spartanburg, SC 29301-1590
Phone
(864) 574-0788
Fax
(864) 576-5359
NPI assigned
Aug 28, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Jim Nasim
Title
Owner
Phone
(864) 576-7169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 Powell Mill Rd
Spartanburg, SC 29301-1590

Mailing address

125 Townpark Dr NW
Suite 180
Kennesaw, GA 30144-5803
Phone (404) 410-1343

National Provider Directory

National Provider Directory
Tax ID family
K and N Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1215337167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW",
            "address_2": "SUITE 180",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445803",
            "telephone_number": "404-410-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011590",
            "telephone_number": "864-574-0788",
            "fax_number": "864-576-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K & N DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "NASIM",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-576-7169"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.