Active NPI
Radiant Dentistry
- General Practice Dentistry
- Spartanburg, SC
National Provider Identifier
1225285646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3632
- Legal business name
- RADIANT DENTISTRY
- Practice address
- 1440 Fernwood Glendale Rd
Spartanburg, SC 29307-3079 - Phone
- (864) 582-2950
- NPI assigned
- Aug 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Wren Lever, DMD
- Title
- Owner/Dentist
- Phone
- (864) 621-5366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3632 | SC | Primary |
Addresses
Primary practice location
1440 Fernwood Glendale Rd
Spartanburg, SC 29307-3079
Mailing address
1440 Fernwood Glendale Rd
Spartanburg, SC 29307-3079
Phone (864) 582-2950
National Provider Directory
National Provider DirectoryLocations
1440 Fernwood Glendale Rd
Spartanburg, SC 29307
Phone (864) 582-2950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1225285646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 FERNWOOD GLENDALE RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293073079",
"telephone_number": "864-582-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 FERNWOOD GLENDALE RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293073079",
"telephone_number": "864-582-2950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANT DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "LEVER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "WREN",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "864-621-5366",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3632",
"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 27, 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.