Active NPI
Newberry Dental Care
- General Practice Dentistry
- Newberry, SC
National Provider Identifier
1619339645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NEWBERRY DENTAL CARE
- Practice address
- 2706 Main St
Newberry, SC 29108-4004 - Phone
- (803) 276-2090
- Fax
- (803) 276-5810
- NPI assigned
- Mar 29, 2016
- Last updated
- Mar 29, 2016
- 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
- Dr. James R Williams, DMD
- Title
- President
- Phone
- (803) 276-2090
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
2706 Main St
Newberry, SC 29108-4004
Mailing address
2706 Main St
Newberry, SC 29108-4004
Phone (803) 276-2090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z19070 | Medicaid | SC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Newberry, SC
- NPI 1396794038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459209600000",
"number": "1619339645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 MAIN ST",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291084004",
"telephone_number": "803-276-2090",
"fax_number": "803-276-5810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 MAIN ST",
"city": "NEWBERRY",
"state": "SC",
"postal_code": "291084004",
"telephone_number": "803-276-2090",
"fax_number": "803-276-5810"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWBERRY DENTAL CARE",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-29",
"last_updated": "2016-03-29",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-276-2090",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z19070",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, SC
- Newberry County Memorial Hospital
- Newberry County Memorial Hospital (General Surgical Services of NCMH)
- Newberry County Memorial Hospital (Newberry Health Primary Care and Pediatrics)
- Newberry County Memorial Hospital
- Newberry County School District
- Newberry Dental, PC
- Newberry Family Chiropractic, LLC
- Newberry Family Health Center
- Newberry Family Health Center PA (Bernardo Geriatrics & Home Care)
- Newberry Family Health Center PA (Bernardo Geriatrics & Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.