Individual provider Active NPI

John Armbruster, DDS

  • General Practice Dentistry
  • Woodruff, SC
National Provider Identifier
1336174135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3509 Issued in SC
Practice address
601 E. Georgia Street
Woodruff, SC 29388
Phone
(864) 476-8315
Fax
(864) 476-6150
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3509 SC Primary

Addresses

Primary practice location

601 E. Georgia Street
Woodruff, SC 29388

Mailing address

601 E. Gerogia Street
Woodruff, SC 29388
Phone (864) 476-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 9, 2017 through Oct 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3509SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crowns Now Family Dentistry General Practice Past Accepting new patients
Woodruff Family Dentistry General Practice Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336174135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E. GEROGIA STREET",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388",
            "telephone_number": "864-476-8315",
            "fax_number": "864-476-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E. GEORGIA STREET",
            "city": "WOODRUFF",
            "state": "SC",
            "postal_code": "29388",
            "telephone_number": "864-476-8315",
            "fax_number": "864-476-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMBRUSTER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodruff, SC

Sources for this page

Verify at the official NPI Registry.