NPIMap

Organization Active NPI

Periodontics of Greenville

  • Periodontics
  • Greenville, SC
National Provider Identifier
1306929344
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2029 Issued in SC
Legal business name
PERIODONTICS OF GREENVILLE
Practice address
1 Charis Dr
Greenville, SC 29615-6615
Phone
(864) 271-4330
Fax
(864) 271-0196
NPI assigned
Oct 23, 2006
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
Ryan Joel Voelkert, D.M.D., M.S.NPI 1609917384
Title
Partner
Phone
(864) 271-4330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 2029 SC Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 2496 SC
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X 3832 SC

Addresses

Primary practice location

1 Charis Dr
Greenville, SC 29615-6615

Mailing address

1 Charis Dr
Greenville, SC 29615-6615
Phone (864) 271-4330

National Provider Directory

National Provider Directory
Tax ID family
Periodontics of Greenville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Charis Dr
Greenville, SC 29615
Phone (864) 271-4330

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306929344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CHARIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156615",
            "telephone_number": "864-271-4330",
            "fax_number": "864-271-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHARIS DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156615",
            "telephone_number": "864-271-4330",
            "fax_number": "864-271-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VOELKERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-271-4330",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2029",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "2496",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "3832",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.