NPIMap

Organization Active NPI

Palmetto Family and Cosmetic Dentistry III

Doing business as Palmetto Family and Cosmetic Dentistry

  • Dentist
  • Columbia, SC
National Provider Identifier
1215552997
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PALMETTO FAMILY AND COSMETIC DENTISTRY III
Doing business as
Palmetto Family and Cosmetic Dentistry
Practice address
1211 Greenlawn Dr
Columbia, SC 29209-2631
Phone
(803) 783-1198
NPI assigned
Jun 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Authorized official

Name
William Thomas Noonan
Title
Owner
Phone
(803) 469-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1211 Greenlawn Dr
Columbia, SC 29209-2631

Mailing address

2590 Tahoe Dr
Sumter, SC 29150-1860
Phone (803) 469-3555

Other names 1

  • Palmetto Family and Cosmetic Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Columbia Direct

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Family and Cosmetic Dentistry LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1215552997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 TAHOE DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501860",
            "telephone_number": "803-469-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 GREENLAWN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092631",
            "telephone_number": "803-783-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO FAMILY AND COSMETIC DENTISTRY III",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-469-3555"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbia",
            "affiliation": "N",
            "endpointDescription": "Palmetto III",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Greenlawn Dr",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292092631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Palmetto Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.