Upstate Periodontics and Implantology, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

UPSTATE PERIODONTICS AND IMPLANTOLOGY, LLC

Practice address

101 Beverly Dr
Seneca, SC 29672-2487

Phone

(864) 882-8900

Fax

(864) 882-8902

NPI assigned

Aug 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Aiken McKee, DMDNPI 1114422383

Title

Dentist/ Owner

Phone

(864) 973-3418

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joshua McKee, DMD

  • Periodontics
  • Seneca, SC
  • NPI 1114422383
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1336814326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BEVERLY DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296722487",
            "telephone_number": "864-882-8900",
            "fax_number": "864-882-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BEVERLY DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296722487",
            "telephone_number": "864-882-8900",
            "fax_number": "864-882-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PERIODONTICS AND IMPLANTOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "AIKEN",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "864-973-3418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Seneca, SC
• Providers in Seneca, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.