NPIMap

Organization Active NPI

Richalnd Northeast Dental Associates,LLC

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1295741056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHALND NORTHEAST DENTAL ASSOCIATES,LLC
Practice address
700 Rabon Rd
Columbia, SC 29203-8900
Phone
(803) 865-0645
Fax
(803) 865-5015
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald Shermer
Title
Owner
Phone
(803) 865-0645

Specialties & licenses 1

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

Addresses

Primary practice location

700 Rabon Rd
Columbia, SC 29203-8900

Mailing address

700 Rabon Rd
Columbia, SC 29203-8900
Phone (803) 865-0645

National Provider Directory

National Provider Directory
Tax ID family
Richland Northeast Dental Associatesllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

700 Rabon Rd
Columbia, SC 29203
Phone (803) 865-0645

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295741056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 RABON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038900",
            "telephone_number": "803-865-0645",
            "fax_number": "803-865-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 RABON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038900",
            "telephone_number": "803-865-0645",
            "fax_number": "803-865-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHALND NORTHEAST DENTAL ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-865-0645",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.