Brian Terry, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3445 Issued in SC

Practice address

153 Scenic Plaza Dr
West Union, SC 29696-2536

Phone

(864) 638-5631

NPI assigned

Sep 24, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Carolina Oaks Oconee, LLC

  • Dentist
  • West Union, SC
  • NPI 1831759489
  NPD (past)
• Oconee Dental Associates,LLC

  • General Practice Dentistry
  • West Union, SC
  • NPI 1730274663
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1598865032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 CROSS CREEK DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781616",
            "telephone_number": "864-886-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 SCENIC PLAZA DR",
            "city": "WEST UNION",
            "state": "SC",
            "postal_code": "296962536",
            "telephone_number": "864-638-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "BRIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3445",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Clark Medical Clinic Association, Inc. (Rosa Clark Medical Clinic, Inc.)
• Adam Frederick Schwartz, DMD
• Amanda Lee Simpson, PHARMD
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #03891)
• Marie Maude Sussman, NP
• The Truth Outreach
• Denise Thorsland, MSP, CCC-SLP
• Suneela Thulluri, RPH
• Julie Brewer Voss
• Lauren Weaver, DPT, PT

• General Practice Dentistry in West Union, SC
• Providers in West Union, 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 Jul 9, 2007; 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.