Roy a Little III DMD PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3330 Issued in SC

Legal business name

ROY A LITTLE III DMD PA

Practice address

214 West Home Avenue
Hartville, SC 29550

Phone

(843) 332-1331

Fax

(843) 857-9359

NPI assigned

Dec 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy Armstrong Little III, DMDNPI 1598825077

Title

Owner

Phone

(843) 332-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Roy Armstrong Little III, DMD

  • General Practice Dentistry
  • Hartsville, SC
  • NPI 1598825077
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366502833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WEST HOME AVENUE",
            "city": "HARTVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-332-1331",
            "fax_number": "843-857-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WEST HOME AVENUE",
            "city": "HARTVILLE",
            "state": "SC",
            "postal_code": "29550",
            "telephone_number": "843-332-1331",
            "fax_number": "843-857-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A LITTLE III DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "ARMSTRONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-332-1331",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9774",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.