Organization Active NPI

Jim Nasim

Doing business as Carolina Dental Docs of Greenwood

  • Dentist
  • Greenwood, SC
National Provider Identifier
1225406960
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2881 Issued in SC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.