Organization Active NPI

Augustus M. Boland, Jr., D.M.D.

  • General Practice Dentistry
  • Barnwell, SC
National Provider Identifier
1285963488
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AUGUSTUS M. BOLAND, JR., D.M.D.
Practice address
53 Irving St
Barnwell, SC 29812-1535
Phone
(803) 259-1193
Fax
(803) 259-1271
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Louise B. Ross
Title
Manager
Phone
(803) 258-1193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

53 Irving St
Barnwell, SC 29812-1535

Mailing address

53 Irving St
Barnwell, SC 29812-1535

National Provider Directory

National Provider Directory

Locations

53 Irving St
Barnwell, SC 29812
Phone (803) 259-1193

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1285963488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 IRVING ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121535",
            "telephone_number": "803-259-1193",
            "fax_number": "803-259-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTUS M. BOLAND, JR., D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-258-1193"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.