Organization Active NPI

Piedmont Dental Center

Doing business as Charleston Denture Center , Columbia Denture Cent

  • Dentist
  • Spartanburg, SC
National Provider Identifier
1326118464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PIEDMONT DENTAL CENTER
Doing business as
Charleston Denture Center , Columbia Denture Cent
Practice address
975 N Church St
Spartanburg, SC 29303-4104
Phone
(864) 582-4308
Fax
(864) 596-4492
NPI assigned
Nov 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. James W FieldsNPI 1871712802
Title
Owner
Phone
(864) 582-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

975 N Church St
Spartanburg, SC 29303-4104

Mailing address

975 N Church St
Spartanburg, SC 29303-4104
Phone (864) 582-4308

Other identifiers 1

IdentifierTypeStateIssuer
890298UMedicaidNC

Other names 1

  • Charleston Denture Center , Columbia Denture Cent Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Charleston Denture Center Columbia Denture Cent2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326118464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034104",
            "telephone_number": "864-582-4308",
            "fax_number": "864-596-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 N CHURCH ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034104",
            "telephone_number": "864-582-4308",
            "fax_number": "864-596-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-582-4308",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890298U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charleston Denture Center , Columbia Denture Cent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, 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.