Active NPI
Jim Nasim
Doing business as Carolina Dental Docs of Greenwood
- Dentist
- Greenwood, SC
National Provider Identifier
1225406960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2881
- Legal business name
- JIM NASIM
- Doing business as
- Carolina Dental Docs of Greenwood
- Practice address
- 101 West Durst Avenue
Greenwood, SC 29649 - Phone
- (864) 576-7169
- NPI assigned
- Sep 11, 2015
- Last updated
- May 10, 2017
- 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
- Barbara Martin
- Title
- HR Manager
- Phone
- (770) 382-3536
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2881 | SC | Primary |
| Pediatric Dentistry | 1223P0221X | 2881 | SC |
Addresses
Primary practice location
101 West Durst Avenue
Greenwood, SC 29649
Mailing address
101 West Durst Avenue
Greenwood, SC 29649
Phone (864) 576-7169
Other names 1
- Carolina Dental Docs of Greenwood
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494374400000",
"number": "1225406960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WEST DURST AVENUE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29649",
"telephone_number": "864-576-7169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WEST DURST AVENUE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "29649",
"telephone_number": "864-576-7169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIM NASIM",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-11",
"last_updated": "2017-05-10",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "BARBARA",
"authorized_official_title_or_position": "HR MANAGER",
"authorized_official_telephone_number": "770-382-3536"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2881",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "SC",
"license": "2881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Dental Docs of Greenwood",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenwood, SC
- Missouri M Jenkins, PHARMD
- Caitlin Jennings, PMHNP-BC, MSN
- Lauren Deanne Jennings, PHARMD.
- Jeremiah Investors (Senior Helpers)
- Jessica & Company, LLC (Angels In Scrubs)
- Jim Nasim DMD PA
- Johansen Precision Eye Care LLC
- Samuel Lee Johansen, OD
- John Sprouse (Advanced Biomechanical Solutions)
- Chacko John, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.