Individual provider Active NPI

Yolanda Reid Hunter, D.M.D., R.N.

  • Dentist
  • Columbia, SC
National Provider Identifier
1265565618
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3015 Issued in SC
Practice address
7711 Trenholm Road Extention
Columbia, SC 29223-1725
Phone
(803) 865-2602
Fax
(803) 865-1814
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3015 SC Primary

Addresses

Primary practice location

7711 Trenholm Road Extention
Columbia, SC 29223-1725

Mailing address

7711 Trenholm Road Extention
Columbia, SC 29223-1725
Phone (803) 865-2602

Other identifiers 1

IdentifierTypeStateIssuer
Z30155MedicaidSC

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
3015SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Family Dentistry Dentist Past Accepting new patients

Organizations & group practices 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339545600000",
    "number": "1265565618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7711 TRENHOLM ROAD EXTENTION",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-865-2602",
            "fax_number": "803-865-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7711 TRENHOLM ROAD EXTENTION",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-865-2602",
            "fax_number": "803-865-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "YOLANDA",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "D.M.D., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z30155",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "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 Jun 13, 2012; 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.