Organization Active NPI

Columbia Dental Health Clinic

  • Dental Clinic/Center
  • Columbia, SC
National Provider Identifier
1386101459
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COLUMBIA DENTAL HEALTH CLINIC
Practice address
2750 Laurel St Ste 202
Columbia, SC 29204-2024
Phone
(803) 256-9268
NPI assigned
Feb 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Authorized official

Name
Dr. Brandon Mack Cain, DMDNPI 1720495104
Title
Owner
Phone
(803) 309-0047

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2750 Laurel St Ste 202
Columbia, SC 29204-2024

Mailing address

589 Charles CT
Lexington, SC 29072-7985
Phone (803) 309-0047

National Provider Directory

National Provider Directory
Tax ID family
Columbia Dental Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2750 Laurel St
Ste 202
Columbia, SC 29204
Phone (803) 256-9268

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551139200000",
    "number": "1386101459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 CHARLES CT",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727985",
            "telephone_number": "803-309-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 LAUREL ST STE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042024",
            "telephone_number": "803-256-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-309-0047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.

Verify at the official NPI Registry.