NPIMap

Organization Active NPI

Ashby Park Pediatric Dentistry Easley

  • Pediatric Dentistry
  • Easley, SC
National Provider Identifier
1417309451
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
3638 Issued in SC
Legal business name
ASHBY PARK PEDIATRIC DENTISTRY EASLEY
Practice address
708 North a Street
Easley, SC 29640
Phone
(864) 605-7741
NPI assigned
Jul 1, 2016
Last updated
Jul 1, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
ASHBY PARK PEDIATRIC DENTISTRY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Jennifer GarveyNPI 1518986496
Title
Partner/Owner
Phone
(864) 234-3424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 3638 SC Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3638 SC

Addresses

Primary practice location

708 North a Street
Easley, SC 29640

Mailing address

708 North a Street
Easley, SC 29640
Phone (864) 605-7741

National Provider Directory

National Provider Directory
Tax ID family
Ashby Park Pediatric Dentistry Easley5 organizations share this tax ID, including this one
Part of
Ashby Park Pediatric Dentistry Easley

Other organizations with this tax ID 4

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

Locations

708 N A St
Easley, SC 29640
Phone (864) 442-5090

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1417309451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 NORTH A STREET",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-605-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 NORTH A STREET",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "29640",
            "telephone_number": "864-605-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHBY PARK PEDIATRIC DENTISTRY EASLEY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHBY PARK PEDIATRIC DENTISTRY, LLC",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "GARVEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "864-234-3424"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "3638",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.