Active NPI
Columbia Oral Health Clinic
- Voluntary or Charitable Agency
- Columbia, SC
National Provider Identifier
1295942480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9770 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
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
- Columbia Nephrology Associates PA
- Columbia Nephrology Associates PA
- Columbia Neurological Associates, PA
- Columbia Northeast Counseling Services, LLC
- Columbia Northeast Kidney Center LLC
- Columbia Orthopaedic & Spine Institute LLC
- Columbia Orthopaedic Specialists LLC
- Columbia Orthopaedic Specialists LLC
- Columbia Periodontal Assoicates, LLC
- Columbia Psychatric Associates
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.