Organization Active NPI

Columbia Oral Health Clinic

  • Voluntary or Charitable Agency
  • Columbia, SC
National Provider Identifier
1295942480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
COLUMBIA ORAL HEALTH CLINIC
Practice address
3425 Main St
Columbia, SC 29203-6434
Phone
(803) 799-9457
Fax
(803) 799-9458
NPI assigned
May 17, 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. Ralph Rynes, PH. D.
Title
President
Phone
(803) 212-1773

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X SC Primary

Addresses

Primary practice location

3425 Main St
Columbia, SC 29203-6434

Mailing address

PO Box 3206
Columbia, SC 29230-3206
Phone (803) 799-9457

Other identifiers 1

IdentifierTypeStateIssuer
ZA9770MedicaidSC

National Provider Directory

National Provider Directory

Locations

3425 N Main St
Columbia, SC 29203
Phone (803) 799-9457

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295942480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3206",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292303206",
            "telephone_number": "803-799-9457",
            "fax_number": "803-799-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 MAIN ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036434",
            "telephone_number": "803-799-9457",
            "fax_number": "803-799-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ORAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYNES",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-212-1773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9770",
            "state": "SC"
        }
    ],
    "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.