Active NPI
Meadow Creek Family Dentistry of Spartanburg
- Dental Clinic/Center
- Spartanburg, SC
National Provider Identifier
1376195529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- MEADOW CREEK FAMILY DENTISTRY OF SPARTANBURG
- Doing business as
- Meadow Creek Family Dentistry of Spartanburg
- Practice address
- 151 Dillon Dr
Spartanburg, SC 29307-1017 - Phone
- (864) 585-0469
- NPI assigned
- Jul 9, 2019
- Last updated
- Jul 9, 2019
- 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
- Ivey Lindsay
- Title
- Practice Manager
- Phone
- (864) 457-3425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
151 Dillon Dr
Spartanburg, SC 29307-1017
Mailing address
PO Box 457
Landrum, SC 29356-0457
Phone (864) 457-3425
Other names 1
- Meadow Creek Family Dentistry of Spartanburg
National Provider Directory
National Provider DirectoryLocations
151 Dillon Dr
Spartanburg, SC 29307
Phone (864) 585-0468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562630400000",
"number": "1376195529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "LANDRUM",
"state": "SC",
"postal_code": "293560457",
"telephone_number": "864-457-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 DILLON DR",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293071017",
"telephone_number": "864-585-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOW CREEK FAMILY DENTISTRY OF SPARTANBURG",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A",
"authorized_official_last_name": "LINDSAY",
"authorized_official_first_name": "IVEY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "864-457-3425"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Meadow Creek Family Dentistry of Spartanburg",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.