NPIMap

Organization Active NPI

Family Orthodontics of Anderson

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Anderson, SC
National Provider Identifier
1619337722
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3638 Issued in SC
Legal business name
FAMILY ORTHODONTICS OF ANDERSON
Practice address
3416 N Highway 81
Anderson, SC 29621-3628
Phone
(864) 437-8606
Fax
(864) 437-8628
NPI assigned
Mar 2, 2016
Organization subpart
Yes
Parent organization
ASHBY PARK PEDIATRIC DENTISTRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Crystal Vanderlind
Title
Office Staff
Phone
(864) 437-8606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 3638 SC Primary

Addresses

Primary practice location

3416 N Highway 81
Anderson, SC 29621-3628

Mailing address

3416 N Highway 81
Anderson, SC 29621-3628
Phone (864) 437-8606

National Provider Directory

National Provider Directory
Tax ID family
Ashby Park Family Orthodontics5 organizations share this tax ID, including this one
Part of
Ashby Park Family Orthodontics

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3416 Highway 81 N
Anderson, SC 29621
Phone (864) 202-4080

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1619337722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213628",
            "telephone_number": "864-437-8606",
            "fax_number": "864-437-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213628",
            "telephone_number": "864-437-8606",
            "fax_number": "864-437-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ORTHODONTICS OF ANDERSON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHBY PARK PEDIATRIC DENTISTRY LLC",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "VANDERLIND",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "864-437-8606"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.