Organization Active NPI

Dental Anesthesia Associates of Greenville, LLC

  • Specialist
  • Greenville, SC
National Provider Identifier
1417291907
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4447 Issued in SC
Legal business name
DENTAL ANESTHESIA ASSOCIATES OF GREENVILLE, LLC
Practice address
2131 Woodruff Rd.
Suite2100 #318
Greenville, SC 29681
Phone
(864) 552-1126
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL ANESTHESIA ASSOCIATES OF GREENVILLE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Authorized official

Name
Dr. Eleni E Pappas, DDS, MS
Title
Anesthesiologist
Phone
(864) 552-1126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4447 SC Primary

Addresses

Primary practice location

2131 Woodruff Rd.
Suite2100 #318
Greenville, SC 29681

Mailing address

2131 Woodruff Rd.
Suite2100 #318
Greenville, SC 29681

National Provider Directory

National Provider Directory
Part of
Dental Anesthesia Associates of Greenville LLC

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1417291907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD.",
            "address_2": "SUITE2100 #318",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WOODRUFF RD.",
            "address_2": "SUITE2100 #318",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29681",
            "telephone_number": "864-552-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ANESTHESIA ASSOCIATES OF GREENVILLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ANESTHESIA ASSOCIATES OF GREENVILLE, LLC",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "ELENI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "864-552-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "4447",
            "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 Nov 21, 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.