Active NPI
David Condon Pence
- Speech-Language Pathologist
- Greenville, SC
National Provider Identifier
1215378492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 266
- Practice address
- 215 Highbourne Dr
Greenville, SC 29615-3244 - Phone
- (864) 238-4709
- NPI assigned
- Jul 16, 2013
- Last updated
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 266 | SC | Primary |
Addresses
Primary practice location
215 Highbourne Dr
Greenville, SC 29615-3244
Mailing address
215 Highbourne Dr
Greenville, SC 29615-3244
Phone (864) 238-4709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373932800000",
"number": "1215378492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 HIGHBOURNE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153244",
"telephone_number": "864-238-4709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HIGHBOURNE DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296153244",
"telephone_number": "864-238-4709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENCE",
"first_name": "DAVID",
"middle_name": "CONDON",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2013-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.