Active NPI
Cherokee General Dentistry
- General Practice Dentistry
- Gaffney, SC
National Provider Identifier
1487669123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CHEROKEE GENERAL DENTISTRY
- Practice address
- 105 N Johnson St
Gaffney, SC 29340-3127 - Phone
- (864) 489-0375
- Fax
- (864) 489-4811
- NPI assigned
- Jul 30, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Angie B Vinesett
- Title
- Office Manager
- Phone
- (864) 489-0375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | SC | Primary |
Addresses
Primary practice location
105 N Johnson St
Gaffney, SC 29340-3127
Mailing address
PO Box 8010
Gaffney, SC 29340-0001
Phone (864) 489-0375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z14645 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
105 N Johnson St
Gaffney, SC 29340
Phone (864) 489-0375
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- General Practice Dentistry
- Gaffney, SC
- NPI 1568623320
-
- General Practice Dentistry
- Gaffney, SC
- NPI 1710992474
-
- Dentist
- Gaffney, SC
- NPI 1033425665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487669123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8010",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293400001",
"telephone_number": "864-489-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N JOHNSON ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293403127",
"telephone_number": "864-489-0375",
"fax_number": "864-489-4811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHEROKEE GENERAL DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VINESETT",
"authorized_official_first_name": "ANGIE",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "864-489-0375",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z14645",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gaffney, SC
- Cherokee Community Care, LLC
- Cherokee Community Care, LLC
- Cherokee County Commission on Alcohol and Drug Abuse
- Cherokee County DSN Board
- Cherokee County School District
- Cherokee Internal Medicine PA
- Cherokee Medical Center (CMC-Center for Internal Medicine)
- Cherokee Medical Center (CMC-Center for Family Medicine-Grassy Pond)
- Cherokee Medical Center (CMC Wound Services)
- Cherokee Medical Center (CMC-Center for Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.