Organization Active NPI

Radiant Dentistry

  • General Practice Dentistry
  • Spartanburg, SC
National Provider Identifier
1225285646
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3632 Issued in SC
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

Updated by the provider on Aug 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.