Active NPI
Brian Mears, DMD
- Periodontics
- Columbia, SC
National Provider Identifier
1578025706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 10293
- Practice address
- 1701 Saint Julian PL
Columbia, SC 29204-2418 - Phone
- (803) 486-8939
- NPI assigned
- Apr 5, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9511 | SC | |
| General Practice Dentistry | 1223G0001X | DN015902 | GA | |
| Periodontics | 1223P0300X | 10293 | SC | Primary |
Addresses
Primary practice location
1701 Saint Julian PL
Columbia, SC 29204-2418
Mailing address
2423 Walton Way
Augusta, GA 30904-4559
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9511 | Other | SC | SC BOARD OF DENTISTRY |
| DN015902 | Other | GA | GEORGIA BOARD OF DENTISTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015902 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1578025706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2423 WALTON WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SAINT JULIAN PL",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042418",
"telephone_number": "803-486-8939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEARS",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "9511",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN015902",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "SC",
"license": "10293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC BOARD OF DENTISTRY",
"identifier": "9511",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF DENTISTRY",
"identifier": "DN015902",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.