Organization Active NPI

Midlands Endodontics

  • Dentist
  • Lexington, SC
National Provider Identifier
1538320361
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3543 Issued in SC
Legal business name
MIDLANDS ENDODONTICS
Practice address
108 Palmetto Park Blvd
Suite F
Lexington, SC 29072-7968
Phone
(803) 808-1110
Fax
(803) 808-1188
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Amy C Bramell, C.D.A.
Title
Office Manager
Phone
(803) 808-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3543 SC Primary

Addresses

Primary practice location

108 Palmetto Park Blvd
Suite F
Lexington, SC 29072-7968

Mailing address

108 Palmetto Park Blvd
Suite F
Lexington, SC 29072-7968
Phone (803) 808-1110

National Provider Directory

National Provider Directory

Locations

108 Palmetto Park Blvd
Ste F
Lexington, SC 29072
Phone (803) 808-1110

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": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1538320361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "SUITE F",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-808-1110",
            "fax_number": "803-808-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD",
            "address_2": "SUITE F",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727968",
            "telephone_number": "803-808-1110",
            "fax_number": "803-808-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BRAMELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-808-1110",
        "authorized_official_credential": "C.D.A."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.