Organization Active NPI

Carolinas Center for Dental Implants

  • Prosthodontics
  • Greenville, SC
National Provider Identifier
1306401948
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
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

Updated by the provider on Jul 6, 2023

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)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.