Active NPI
Total Dental Care of Orangeburg
- Dentist
- Orangeburg, SC
National Provider Identifier
1346589579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4457
- Legal business name
- TOTAL DENTAL CARE OF ORANGEBURG
- Practice address
- 630 Laurel St
Orangeburg, SC 29115-4835 - Phone
- (803) 534-5550
- Fax
- (803) 534-3963
- NPI assigned
- Feb 7, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jim Nasim
- Title
- Owner
- Phone
- (864) 576-7169
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4457 | SC | Primary |
| Dentist | 122300000X | 1926 | SC | |
| Dental Hygienist | 124Q00000X | 3811 | SC |
Addresses
Primary practice location
630 Laurel St
Orangeburg, SC 29115-4835
Mailing address
630 Laurel St
Orangeburg, SC 29115-4835
Phone (803) 534-5550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360195200000",
"number": "1346589579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 LAUREL ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154835",
"telephone_number": "803-534-5550",
"fax_number": "803-534-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 LAUREL ST",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291154835",
"telephone_number": "803-534-5550",
"fax_number": "803-534-3963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTAL DENTAL CARE OF ORANGEBURG",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-07",
"last_updated": "2013-02-07",
"status": "A",
"authorized_official_last_name": "NASIM",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-576-7169",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "SC",
"license": "4457",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "SC",
"license": "1926",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": "SC",
"license": "3811",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.