NPIMap

Organization Active NPI

Jim Nasim DMD PA

  • Dentist
  • Greenwood, SC
National Provider Identifier
1447604723
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JIM NASIM DMD PA
Practice address
101 Durst Ave W
Greenwood, SC 29649-2020
Phone
(864) 229-6639
Fax
(864) 941-3319
NPI assigned
Apr 22, 2016
Last updated
Oct 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Authorized official

Name
Ms. Jennifer A Tomlinson
Title
Credentialing Coordinator
Phone
(864) 229-6639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

101 Durst Ave W
Greenwood, SC 29649-2020

Mailing address

101 Durst Ave W
Greenwood, SC 29649-2020
Phone (864) 229-6639

Other names 1

  • Lakelands Dental Art Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Jim Nasim DMD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1447604723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DURST AVE W",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492020",
            "telephone_number": "864-229-6639",
            "fax_number": "864-941-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DURST AVE W",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296492020",
            "telephone_number": "864-229-6639",
            "fax_number": "864-941-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM NASIM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "864-229-6639",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakelands Dental Art",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lakelands Dental Art",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.