Individual provider Active NPI

Marc D Workman, DMD

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1245385723
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3914 Issued in SC
Practice address
2404 Wade Hampton Blvd
Greenville, SC 29615-1146
Phone
(864) 907-1122
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 3914 SC
General Practice Dentistry 1223G0001X 3914 SC Primary

Addresses

Primary practice location

2404 Wade Hampton Blvd
Greenville, SC 29615-1146

Mailing address

2404 Wade Hampton Blvd
Greenville, SC 29615-1146
Phone (864) 907-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Dentist Office at Berea LLC General Practice CurrentSince Aug 14, 2022 Accepting new patients
Wade Hampton Family Dentistry LLC CurrentSince Jun 16, 2024 Accepting new patients
Carolina Oaks Dental Care, LLC General Practice Past Accepting new patients

Locations

2404 Wade Hampton Blvd
Greenville, SC 29615
Phone (864) 244-0400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1245385723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151146",
            "telephone_number": "864-907-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 WADE HAMPTON BLVD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296151146",
            "telephone_number": "864-907-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "MARC",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "SC",
            "license": "3914",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.