NPIMap

Organization Active NPI

Seneca Orthodontics, LLC

  • Dental Clinic/Center
  • Seneca, SC
National Provider Identifier
1265743785
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4621 Issued in SC
Legal business name
SENECA ORTHODONTICS, LLC
Practice address
5 Commons Blvd
Seneca, SC 29678-2667
Phone
(864) 885-1579
Fax
(864) 885-0505
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Sally Grant Holliday, DMD, MSNPI 1881844082
Title
Member
Phone
(864) 885-1579

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 4621 SC Primary

Addresses

Primary practice location

5 Commons Blvd
Seneca, SC 29678-2667

Mailing address

5 Commons Blvd
Seneca, SC 29678-2667
Phone (864) 885-1579

National Provider Directory

National Provider Directory

Locations

5 Commons Blvd
Seneca, SC 29678
Phone (864) 885-1579

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1265743785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COMMONS BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782667",
            "telephone_number": "864-885-1579",
            "fax_number": "864-885-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COMMONS BLVD",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296782667",
            "telephone_number": "864-885-1579",
            "fax_number": "864-885-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-885-1579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.