NDS II, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3451 Issued in SC

Legal business name

NDS II, LLC

Doing business as

Carolina Foothills Dental- Union

Practice address

216 S Mountain St
Union, SC 29379-2331

Phone

(864) 427-0397

Fax

(864) 427-8286

NPI assigned

Oct 4, 2013

Organization subpart

No

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

Authorized official

Name

Brenda Lynn Newman

Title

Insurance Coordinator

Phone

(864) 427-0397

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Foothills Dental- Union Doing business as

Tax ID family

Carolina Foothills Dental- Union2 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.

• NSD Unlimited, LLC

  • General Practice Dentistry
  • Landrum, SC
  • NPI 1033474457
  NPD tax ID

Practitioners 1

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

• William Lewis Weber, D.M.D.

  • General Practice Dentistry
  • Union, SC
  • NPI 1295867299
  NPD (past)

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1417384405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E RUTHERFORD ST",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293561727",
            "telephone_number": "843-757-2828",
            "fax_number": "843-757-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MOUNTAIN ST",
            "city": "UNION",
            "state": "SC",
            "postal_code": "293792331",
            "telephone_number": "864-427-0397",
            "fax_number": "864-427-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDS II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "864-427-0397"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3451",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Foothills Dental- Union",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Metro-Care LLC
• Chrissy Anna Mobley-Gilmore, LPC, RN
• Laura Melinda Moretz, MD
• Jasmin Simone Morris
• Sunitha Nagubilli, MD
• Gary Nesmith, RPT
• Michael Nolan, M.S.
• Daniel L O'Shields, PH.D
• Oakmont of Union SC LLC
• Oakmont of Union SC LLC

• Dentist in Union, SC
• Providers in Union, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.