NPIMap

Organization Active NPI

Brightside Orthodontics Florence, LLC

  • Dental Clinic/Center
  • Florence, SC
National Provider Identifier
1598348864
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BRIGHTSIDE ORTHODONTICS FLORENCE, LLC
Doing business as
Brightside Orthodontics
Practice address
615 W Palmetto St
Florence, SC 29501-4301
Phone
(843) 665-4951
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Dr. Vivek Patel, DMDNPI 1164976718
Title
Owner
Phone
(847) 997-7852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

615 W Palmetto St
Florence, SC 29501-4301

Mailing address

615 W Palmetto St
Florence, SC 29501-4301
Phone (843) 665-4951

Other identifiers 2

IdentifierTypeStateIssuer
1164976718OtherNPI
1689756744OtherSCNPI

Other names 1

  • Brightside Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL A

National Provider Directory

National Provider Directory

Locations

615 W Palmetto St
Florence, SC 29501
Phone (843) 665-4951

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1598348864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014301",
            "telephone_number": "843-665-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014301",
            "telephone_number": "843-665-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHTSIDE ORTHODONTICS FLORENCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-997-7852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164976718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689756744",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "A",
            "affiliation": "N",
            "address_1": "615 W Palmetto St",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295014301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brightside Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.