Adrienne Nicole Wimbrow, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

8306 Issued in SC

Practice address

146 Commons Pkwy
Anderson, SC 29621-4133

Phone

(864) 224-6300

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upcountry Dental, LLC

  • Dental Clinic/Center
  • Seneca, SC
  • NPI 1093522005
  NPD Authorized official
• Dental Associates of Anderson, P.C.

  • General Practice Dentistry
  • Anderson, SC
  • NPI 1003188525
  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1578874855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 COMMONS PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214133",
            "telephone_number": "864-224-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 COMMONS PKWY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214133",
            "telephone_number": "864-224-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Professionals Cir",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296782669",
            "country_code": "US",
            "telephone_number": "864-776-0123",
            "fax_number": "864-776-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIMBROW",
        "first_name": "ADRIENNE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "8306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Ruth Wilson, M.D.
• Kristen Wilson
• Lyndsey Wilson, BCABA
• Marion Antonio Wilson
• Tayler Leann Wilson, LPC-A
• James Winbush, MD
• Shelby Winchester
• William Windsor
• Nicholas James Winkler, D.C.
• Winston C Floyd MD PA

• Dentist in Anderson, SC
• Providers in Anderson, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.

Verify at the official NPI Registry.