Active NPI
Carolina Urgent Dental Care
- General Practice Dentistry
- Greenville, SC
National Provider Identifier
1609805282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3857
- Legal business name
- CAROLINA URGENT DENTAL CARE
- Practice address
- 1007 Grove Road
Suite D
Greenville, SC 29605 - Phone
- (864) 232-8100
- NPI assigned
- Jul 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Taylor
- Title
- Business Manager
- Phone
- (864) 232-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3857 | SC | Primary |
Addresses
Primary practice location
1007 Grove Road
Suite D
Greenville, SC 29605
Mailing address
1007 Grove Road
Suite D
Greenville, SC 29605
Phone (864) 232-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZA9492 | Medicaid | SC |
National Provider Directory
National Provider Directory- Tax ID family
- Carolina Urgent Dental Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Anderson, SC
- NPI 1093970337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202860800000",
"number": "1609805282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 GROVE ROAD",
"address_2": "SUITE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-232-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 GROVE ROAD",
"address_2": "SUITE D",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "29605",
"telephone_number": "864-232-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA URGENT DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-03",
"last_updated": "2008-02-13",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "864-232-8100"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZA9492",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
- Carolina Physicians and Rehab, LLC.
- Carolina Rehab & Mobility
- Carolina Sleep Therapy LLC
- Carolina Spine & Health Inc.
- Carolina Spine & Rehab LLC
- Carolina Vein Care and Aesthetics, LLC
- Carolina'S Eye Care, P.a.
- Carolinas Center for Advanced Management of Pain, PA
- Carolinas Center for Dental Implants
- Carolinas Fertility Institute, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.