Rourk Barton Freeman, D.M.D., P.A.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4054 Issued in SC

Practice address

736 Saluda Lake Rd
Greenville, SC 29611-2460

Phone

(864) 246-8347

Fax

(864) 246-8329

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rourk.freeman.p5@direct.360care.nextgenshare.com

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.

• Freeman Dentistry of South Carolina LLC

  • Dentist
  • Columbia, SC
  • NPI 1093390007
  NPD Authorized official
• Rourk B. Freeman, DMD,PA

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1144355108
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1255439394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 SALUDA LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112460",
            "telephone_number": "864-246-8347",
            "fax_number": "864-246-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 SALUDA LAKE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296112460",
            "telephone_number": "864-246-8347",
            "fax_number": "864-246-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ROURK",
        "middle_name": "BARTON",
        "name_prefix": "Dr.",
        "credential": "D.M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX4054",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W. Freeman, DMD
• Kimberly Freeman
• Laura Lee Freeman, NP
• Lawrence W Freeman, M.D.
• Rachel Freeman, LPC-A
• Stephanie Freeman
• Zackary Marquis Freeman
• Glenn Martin French
• Holly D French
• Jacob Stephen French

• General Practice Dentistry in Greenville, SC
• Providers in Greenville, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.