Blue Ridge Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLUE RIDGE DENTAL LLC

Practice address

2224 Old Furnace Rd
Boiling Springs, SC 29316-5782

Phone

(864) 586-5050

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Aleksey Zelenko, DMDNPI 1306288667

Title

Provider

Phone

(864) 580-8767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Aleksey Zelenko, DMD

  • Dentist
  • Boiling Springs, SC
  • NPI 1306288667
  NPD Authorized official

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1427766823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165782",
            "telephone_number": "864-586-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 OLD FURNACE RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165782",
            "telephone_number": "864-586-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "ZELENKO",
        "authorized_official_first_name": "ALEKSEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "864-580-8767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Wade Bickford, MD
• William E Blalock, DC
• Valarie Blanton
• William Arthur Blodgett Jr., LMT
• Bloomcare Group LLC
• Boiling Springs Dentistry, LLC
• Boiling Springs First Baptist Church Counseling Service
• Felisha Booker
• Jake P Bostrom, M.D.
• Debra L Bower, RPH

• Dental Clinic/Center in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Dental Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.