Mountain View Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MOUNTAIN VIEW PEDIATRIC DENTISTRY, LLC

Doing business as

Mountain View Pediatric Dentistry

Practice address

318 Memorial Dr
Greer, SC 29650-1521

Phone

(864) 416-7880

Fax

(864) 416-7880

NPI assigned

Dec 6, 2021

Organization subpart

No

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

Authorized official

Name

Jonathan E. Fryml, DMDNPI 1013442078

Title

Owner

Phone

(864) 593-4526

Specialties & licenses 1

Addresses

Other names 1

• Mountain View Pediatric Dentistry Doing business as

Tax ID family

Mountain View Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mountain View Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Greer, SC
  • NPI 1346828753
  NPD tax ID

Locations

Practitioners 1

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

• Jonathan Elliot Fryml, DMD

  • Pediatric Dentistry
  • Greer, SC
  • NPI 1013442078
  NPD Authorized official

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1487312526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 N PARKER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296091322",
            "telephone_number": "864-416-7880",
            "fax_number": "864-416-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MEMORIAL DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501521",
            "telephone_number": "864-416-7880",
            "fax_number": "864-416-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-11-25",
        "status": "A",
        "authorized_official_last_name": "FRYML",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-593-4526",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Dean Moss, DMD
• Mountain View Chiropractic (Joseph Russo, D.C.)
• Mountain View Family Medicine, LLC (Mountain View Family Medicine)
• Mountain View Orthopaedics PA
• Mountain View Pediatric Dentistry, LLC
• Mountainview Dentistry
• Chelette Denise Mozie, PT
• Ms McMeekin OD LLC
• Ciara Makenzie Mueller, DO
• Merri Allison Mugan, MCD, CCC-SLP

• Pediatric Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• Pediatric Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.