Active NPI
Mountain View Pediatric Dentistry, LLC
- Pediatric Dentistry
- Greer, SC
National Provider Identifier
1346828753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- MOUNTAIN VIEW PEDIATRIC DENTISTRY, LLC
- Practice address
- 318 Memorial Dr
Greer, SC 29650-1521 - Phone
- (864) 416-7880
- Fax
- (864) 416-7808
- NPI assigned
- Mar 30, 2021
- 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
- Jonathan Fryml, DMD
- Title
- Owner
- Phone
- (864) 416-7880
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
318 Memorial Dr
Greer, SC 29650-1521
Mailing address
868 N Parker Rd
Greenville, SC 29609-1322
Phone (864) 593-4526
National Provider Directory
National Provider Directory- Tax ID family
- Mountain View Pediatric Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Greer, SC
- NPI 1487312526
Locations
6708 State Park Rd
#B
Travelers Rest, SC 29690
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Greer, SC
- NPI 1013442078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652745600000",
"number": "1346828753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 N PARKER RD",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296091322",
"telephone_number": "864-593-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 MEMORIAL DR",
"city": "GREER",
"state": "SC",
"postal_code": "296501521",
"telephone_number": "864-416-7880",
"fax_number": "864-416-7808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW PEDIATRIC DENTISTRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-30",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A",
"authorized_official_last_name": "FRYML",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-416-7880",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greer, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.