NPIMap

Organization Active NPI

Mejia & Penaloza LLC

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1285992289
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6992
Legal business name
MEJIA & PENALOZA LLC
Practice address
1140 N Pleasantburg Dr Ste D
Greenville, SC 29607-1256
Phone
(864) 252-8296
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Paola Mejia
Title
Manager
Phone
(864) 252-8296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6992 Primary

Addresses

Primary practice location

1140 N Pleasantburg Dr Ste D
Greenville, SC 29607-1256

Mailing address

1140 N Pleasantburg Dr Ste D
Greenville, SC 29607-1256
Phone (864) 252-8296

Other names 1

  • Greenville Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

1140 N Pleasantburg Dr
Ste D
Greenville, SC 29607
Phone (864) 252-8296

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": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1285992289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N PLEASANTBURG DR STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071256",
            "telephone_number": "864-252-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N PLEASANTBURG DR STE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296071256",
            "telephone_number": "864-252-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEJIA & PENALOZA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "864-252-8296"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": "6992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.