Capitol Dental Group, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

SC-2275 Issued in SC

Legal business name

CAPITOL DENTAL GROUP, LLC

Practice address

1106 Anthony Ave
Columbia, SC 29201-1730

Phone

(803) 252-4500

Fax

(803) 252-0334

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robet Michael Johnson, D.M.D.

Title

Dentist

Phone

(803) 252-4500

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew T. Johnson, D.M.D.

  • Dentist
  • Columbia, SC
  • NPI 1194987602
  NPD (past)
• Robert Michael Johnson, DMD

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1427118041
  NPD (past)

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1295961274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 ANTHONY AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011730",
            "telephone_number": "803-252-4500",
            "fax_number": "803-252-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 ANTHONY AVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292011730",
            "telephone_number": "803-252-4500",
            "fax_number": "803-252-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBET",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-252-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "SC-2275",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "SC-4484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capital City OB-GYN Associates PA
• Capital Dermatology, LLC
• Capital Diabetic Supply, Inc
• Capital Prosthetics & Orthotics, Inc.
• Capital Skin & Laser LLC
• Capitol ER Group LLC
• Capitol ER Group LLC
• Capitol Urology, PA
• Jessica Capozzi
• Lindsay Carature, DC

• Dental Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.