Organization Active NPI

Affordable Dentistry PA

  • Dental Clinic/Center
  • Columbia, SC
National Provider Identifier
1275823197
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
4644 Issued in SC
Legal business name
AFFORDABLE DENTISTRY PA
Practice address
2329 Devine St
Suite 1
Columbia, SC 29205-2431
Phone
(803) 447-6009
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Devang H Desai, D.M.D.NPI 1962631515
Title
Owner
Phone
(803) 447-6009

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 4644 SC Primary

Addresses

Primary practice location

2329 Devine St
Suite 1
Columbia, SC 29205-2431

Mailing address

2329 Devine St
Suite 1
Columbia, SC 29205-2431
Phone (803) 447-6009

Other names 1

  • Shandon Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2329 Devine St
Ste 1
Columbia, SC 29205
Phone (803) 447-6009

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": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1275823197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 DEVINE ST",
            "address_2": "SUITE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052431",
            "telephone_number": "803-447-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 DEVINE ST",
            "address_2": "SUITE 1",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292052431",
            "telephone_number": "803-447-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "DEVANG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-447-6009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shandon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2011; 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.