Cherry Orchard Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHERRY ORCHARD PEDIATRIC DENTISTRY, LLC

Practice address

101 Halton Rd Ste B
Greenville, SC 29607-3507

Phone

(864) 603-2603

Fax

(864) 603-2606

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Lisa Cherry, DDSNPI 1518036235

Title

Pediatric Dentist

Phone

(864) 603-2603

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Marie Cherry, DDS

  • Pediatric Dentistry
  • Greenville, SC
  • NPI 1518036235
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1225615156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHAMROCK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296155462",
            "telephone_number": "864-423-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HALTON RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-603-2603",
            "fax_number": "864-603-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY ORCHARD PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "864-603-2603",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Chelton, DPT
• Mitchell Linn Chemell, PA-C
• Morris Anthony Chemell
• Jeffrey Cheng, C-AA
• Jessica Michelle Chepa, APRN
• Brian Russell Cherry, D.M.D.
• Earl Roger Cherry Jr., DMD
• J Suzanne Cherry, PT
• Lisa Marie Cherry, DDS
• Cherrydale Chiropractic

• Pediatric Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.