Active NPI
Joseph Nelson Eddy, DMD
- Periodontics
- Rock Hill, SC
National Provider Identifier
1578195277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 12096
- Practice address
- 1144 India Hook Rd Ste D
Rock Hill, SC 29732-2400 - Phone
- (803) 324-8141
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 12096 | NC | Primary |
Addresses
Primary practice location
1144 India Hook Rd Ste D
Rock Hill, SC 29732-2400
Mailing address
1411 Lacy LN
Rock Hill, SC 29732-7723
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 |
|---|---|---|---|
| 12096 | NC | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1578195277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 LACY LN",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297327723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 INDIA HOOK RD STE D",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322400",
"telephone_number": "803-324-8141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDY",
"first_name": "JOSEPH",
"middle_name": "NELSON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NC",
"license": "12096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.