NPIMap

Organization Active NPI

Carolina Children's Dentistry, PA

  • Pediatric Dentistry
  • Columbia, SC
National Provider Identifier
1396899175
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CAROLINA CHILDREN'S DENTISTRY, PA
Practice address
7701 Trenholm Road Ext
Columbia, SC 29223-1725
Phone
(803) 736-6000
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Authorized official

Name
Dr. Felicia L Goins, D.D.SNPI 1306891833
Title
Owner
Phone
(803) 736-6000

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

7701 Trenholm Road Ext
Columbia, SC 29223-1725

Mailing address

7701 Trenholm Road Ext
Columbia, SC 29223-1725
Phone (803) 736-6000

Other identifiers 1

IdentifierTypeStateIssuer
ZA9715MedicaidSC

Other names 1

  • Carolina Children's Dentistry of Columbia Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1396899175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-736-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 TRENHOLM ROAD EXT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231725",
            "telephone_number": "803-736-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CHILDREN'S DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "GOINS",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-736-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9715",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Children's Dentistry of Columbia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 25, 2012; 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.