Active NPI
At Your Home Dentistry
- Dentist
- Columbia, SC
National Provider Identifier
1477792265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3177
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.