Organization Active NPI

Gye Nyame LLC

Doing business as Children's Dental Group of South Carolina

  • General Practice Dentistry
  • Irmo, SC
National Provider Identifier
1447035043
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GYE NYAME LLC
Doing business as
Children's Dental Group of South Carolina
Practice address
7210 Broad River Rd Ste K
Irmo, SC 29063-8150
Phone
(803) 781-5141
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Tashiba Nelson, DMDNPI 1518306190
Title
Owner
Phone
(803) 781-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7210 Broad River Rd Ste K
Irmo, SC 29063-8150

Mailing address

7210 Broad River Rd Ste K
Irmo, SC 29063-8150
Phone (803) 781-5141

Other names 1

  • Children's Dental Group of South Carolina Doing business as

National Provider Directory

National Provider Directory

Locations

7210 Broad River Rd
Ste K
Irmo, SC 29063
Phone (803) 781-5141

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1447035043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 BROAD RIVER RD STE K",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638150",
            "telephone_number": "803-781-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 BROAD RIVER RD STE K",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638150",
            "telephone_number": "803-781-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYE NYAME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "TASHIBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-781-5141",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Group of South Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.