Organization Active NPI

Dentist in Greenville LLC

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1487405163
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTIST IN GREENVILLE LLC
Doing business as
Dentist in Greenville LLC
Practice address
4 Market Point Dr Ste E
Greenville, SC 29607-6558
Phone
(803) 830-6881
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Sreekanth Reddy Emani, DDSNPI 1922196096
Title
Manager
Phone
(803) 830-6881

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: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4 Market Point Dr Ste E
Greenville, SC 29607-6558

Mailing address

4 Market Point Dr Ste E
Greenville, SC 29607-6558
Phone (803) 830-6881

Other names 1

  • DENTIST IN GREENVILLE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4 Market Point Dr
Ste E
Greenville, SC 29607
Phone (864) 284-0066

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1487405163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MARKET POINT DR STE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076558",
            "telephone_number": "803-830-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MARKET POINT DR STE E",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076558",
            "telephone_number": "803-830-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIST IN GREENVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "EMANI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-830-6881",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DENTIST IN GREENVILLE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.