NPIMap

Organization Active NPI

J.Harold Capps,Jr., DMD,PC Dbaglenns Bay Dental Associates

Doing business as Glenns Bay Dental Associates

  • General Practice Dentistry
  • Surfside Beach, SC
National Provider Identifier
1508197724
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
117168 Issued in SC
Legal business name
J.HAROLD CAPPS,JR., DMD,PC DBAGLENNS BAY DENTAL ASSOCIATES
Doing business as
Glenns Bay Dental Associates
Practice address
1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone
(843) 650-5100
Fax
(843) 650-0689
NPI assigned
Jan 28, 2010
Last updated
Jan 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. Joseph Harold Capps Jr., DMDNPI 1710251731
Title
Owner
Phone
(843) 650-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 117168 SC Primary

Addresses

Primary practice location

1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836

Mailing address

1625 Glenns Bay Rd
Surfside Beach, SC 29575-4836
Phone (843) 650-5100

Other names 1

  • Glenns Bay Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1625 Glenns Bay Rd
Surfside Beach, SC 29575
Phone (843) 650-4500

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": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1508197724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-650-5100",
            "fax_number": "843-650-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754836",
            "telephone_number": "843-650-5100",
            "fax_number": "843-650-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.HAROLD CAPPS,JR., DMD,PC DBAGLENNS BAY DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-650-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "117168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenns Bay Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Surfside Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.