Active NPI
Carolinas Center for Dental Implants
- Prosthodontics
- Greenville, SC
National Provider Identifier
1306401948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- Legal business name
- CAROLINAS CENTER FOR DENTAL IMPLANTS
- Practice address
- 280 Rocky Slope Rd
Greenville, SC 29607-3908 - Phone
- (864) 252-9464
- Fax
- (864) 482-7510
- NPI assigned
- May 9, 2019
- 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
- Mrs. Jennifer Rayle Hock
- Title
- Director of Contracting and Credent
- Phone
- (704) 295-4653
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X |
Addresses
Primary practice location
280 Rocky Slope Rd
Greenville, SC 29607-3908
Mailing address
5550 77 Center Dr Ste 320
Charlotte, NC 28217-0739
Phone (704) 295-4653
Other practice location 1
8840 Blakeney Professional Dr Ste 102
Charlotte, NC 28277-6806
Phone (704) 716-9840
Other practice location 2
314 Union Station Dr
Seneca, SC 29678-4547
Phone (864) 482-7500
Other names 1
- Envision Dental Implant Centers
National Provider Directory
National Provider DirectoryLocations
314 Union Station Dr
Seneca, SC 29678
Phone (864) 482-7500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688601600000",
"number": "1306401948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5550 77 CENTER DR STE 320",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282170739",
"telephone_number": "704-295-4653",
"fax_number": "704-295-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 ROCKY SLOPE RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296073908",
"telephone_number": "864-252-9464",
"fax_number": "864-482-7510"
}
],
"practiceLocations": [
{
"address_1": "8840 Blakeney Professional Dr Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282776806",
"country_code": "US",
"telephone_number": "704-716-9840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "314 Union Station Dr",
"address_purpose": "LOCATION",
"city": "Seneca",
"state": "SC",
"postal_code": "296784547",
"country_code": "US",
"telephone_number": "864-482-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAROLINAS CENTER FOR DENTAL IMPLANTS",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-09",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A",
"authorized_official_last_name": "HOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "RAYLE",
"authorized_official_title_or_position": "DIRECTOR OF CONTRACTING AND CREDENT",
"authorized_official_telephone_number": "704-295-4653",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Envision Dental Implant Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Greenville, SC
- Carolina Spine & Rehab LLC
- Carolina Urgent Dental Care
- Carolina Vein Care and Aesthetics, LLC
- Carolina'S Eye Care, P.a.
- Carolinas Center for Advanced Management of Pain, PA
- Carolinas Fertility Institute, P.a.
- Carolinas Medical Center
- Caroline Price Dermatology, PA
- Carol A Caron, MA
- Lisa Carovillano Seitzer, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.