Organization Active NPI

At Your Home Dentistry

  • Dentist
  • Columbia, SC
National Provider Identifier
1477792265
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3177 Issued in SC
Legal business name
AT YOUR HOME DENTISTRY
Practice address
810 Dutch Square Blvd
Suite 104
Columbia, SC 29210-7318
Phone
(803) 771-2600
Fax
(516) 665-5588
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Angela McFadden, DMD
Title
Dentist
Phone
(803) 771-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3177 SC Primary

Addresses

Primary practice location

810 Dutch Square Blvd
Suite 104
Columbia, SC 29210-7318

Mailing address

311 Plantation Dr
Lexington, SC 29072-7925
Phone (803) 771-2600

National Provider Directory

National Provider Directory

Locations

810 Dutch Square Blvd
Ste 104
Columbia, SC 29210
Phone (803) 771-2600

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1477792265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PLANTATION DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727925",
            "telephone_number": "803-771-2600",
            "fax_number": "516-665-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 DUTCH SQUARE BLVD",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107318",
            "telephone_number": "803-771-2600",
            "fax_number": "516-665-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR HOME DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "MCFADDEN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "803-771-2600",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.