Organization Active NPI

Easley Dental Center PA

  • Dentist
  • Easley, SC
National Provider Identifier
1295851780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
303576 Issued in SC
Legal business name
EASLEY DENTAL CENTER PA
Practice address
1673 E Main Street
Easley, SC 29640
Phone
(864) 859-7270
Fax
(864) 850-1455
NPI assigned
Mar 22, 2007
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. Jonathan Ralph Strange, DMDNPI 1861518359
Title
Owner
Phone
(864) 859-7270

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 303576 SC Primary

Addresses

Primary practice location

1673 E Main Street
Easley, SC 29640

Mailing address

221 Providence Way
Easley, SC 29642
Phone (864) 306-0857

National Provider Directory

National Provider Directory

Locations

1673 E Main St
Easley, SC 29640
Phone (864) 859-7270

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295851780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PROVIDENCE WAY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29642",
            "telephone_number": "864-306-0857",
            "fax_number": "864-850-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 E MAIN STREET",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-859-7270",
            "fax_number": "864-850-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASLEY DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRANGE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-859-7270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "303576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, 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.