Active NPI
H. Nelson Eddy, DDS PA
- Periodontics
- Rock Hill, SC
National Provider Identifier
1548377799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2793
- Practice address
- 1144 India Hook Rd
Suite D
Rock Hill, SC 29732-2783 - Phone
- (803) 324-8141
- Fax
- (803) 324-8115
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2793 | SC | Primary |
| Periodontics | 1223P0300X | 6220 | NC |
Addresses
Primary practice location
1144 India Hook Rd
Suite D
Rock Hill, SC 29732-2783
Mailing address
1144 India Hook Rd
Suite D
Rock Hill, SC 29732-2783
Phone (803) 324-8141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6220 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548377799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1144 INDIA HOOK RD",
"address_2": "SUITE D",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322783",
"telephone_number": "803-324-8141",
"fax_number": "803-324-8115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 INDIA HOOK RD",
"address_2": "SUITE D",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322783",
"telephone_number": "803-324-8141",
"fax_number": "803-324-8115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "H.",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "DDS PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "SC",
"license": "2793",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "6220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
- Ear Nose Throat & Audiology Associates
- Ebenezer Road, LLC (Brookdale Ebenezer Road)
- Ebenezer Senior Services, LLC (Agape Rehabilitation of Rock Hill)
- Travis Eckman
- Chelsey Desiree Eddy, PT, DPT
- Joseph Nelson Eddy, DMD
- Julie Eddy
- Kelly Ann Edinger, MS, BCBA
- Tamara Monique Edrington, MS MFT
- Carolyn Blackwell Edwards
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.