CDP of Greer, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CDP OF GREER, LLC

Practice address

215 W Poinsett St Ste a
Greer, SC 29650-1945

Phone

(864) 877-1891

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Adam Carraway, DMDNPI 1487195178

Title

Owner

Phone

(864) 268-7812

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Bruce Carraway, DMD

  • Dentist
  • Greer, SC
  • NPI 1487195178

  General Practice

  NPD Authorized official
• Allison Lane Fagan, DMD

  • General Practice Dentistry
  • Greer, SC
  • NPI 1902590268
  NPD
• Virginia Neely Todd Carraway, DMD

  • General Practice Dentistry
  • Easley, SC
  • NPI 1376039461
  NPD (past)

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1548984776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 OLD SPARTANBURG RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296502763",
            "telephone_number": "864-268-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W POINSETT ST STE A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501945",
            "telephone_number": "864-877-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDP OF GREER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-268-7812",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson L Cash, NP
• Rodd Leighton Casper, PA C
• Cater to Needs
• Danielle Cates
• CCSJ, Holdings, LLC
• Vanda Gina Cecco, D.C.
• Celestial Sanctuary LLC
• Adam Cellamare, ATC
• Centerwell Senior Primary Care (SC) PC (CenterWell Senior Primary Care- Greer)
• Lauren Chadwell

• General Practice Dentistry in Greer, SC
• Providers in Greer, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.