Active NPI
Katharine Maycan
- Dental Hygienist
- Greenville, SC
National Provider Identifier
1407308349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 10763
- Practice address
- 1 Memorial Medical Dr
Greenville, SC 29605-4407 - Phone
- (864) 351-2400
- Fax
- (864) 351-2420
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 10763 | SC | Primary |
Addresses
Primary practice location
1 Memorial Medical Dr
Greenville, SC 29605-4407
Mailing address
1 Memorial Medical Dr
Greenville, SC 29605-4407
Phone (864) 351-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10763 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1407308349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEMORIAL MEDICAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054407",
"telephone_number": "864-351-2400",
"fax_number": "864-351-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEMORIAL MEDICAL DR",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054407",
"telephone_number": "864-351-2400",
"fax_number": "864-351-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYCAN",
"first_name": "KATHARINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "SC",
"license": "10763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.