NPIMap

Organization Active NPI

Indigo Dentistry

  • Dental Clinic/Center
  • Columbia, SC
National Provider Identifier
1265067987
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
INDIGO DENTISTRY
Practice address
121 Alpine Cir
Columbia, SC 29223-6385
Phone
(803) 348-7401
NPI assigned
Mar 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Jennifer Rains
Title
Manager
Phone
(803) 348-7401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

121 Alpine Cir
Columbia, SC 29223-6385

Mailing address

862 Rutledge Ave
Charleston, SC 29403-3434
Phone (803) 348-7401

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mmccoy@indigodentistrycolumbia.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: mmccoy@indigodentistrycolumbia.com

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1265067987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 RUTLEDGE AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294033434",
            "telephone_number": "803-348-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ALPINE CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236385",
            "telephone_number": "803-348-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-348-7401"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mmccoy@indigodentistrycolumbia.com",
            "affiliation": "N",
            "address_1": "121 Alpine Cir",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292236385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.