NPIMap

Organization Active NPI

Pelham Links Family Dentistry

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1619926128
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2558 Issued in SC
Legal business name
PELHAM LINKS FAMILY DENTISTRY
Practice address
201 Old Boiling Springs Rd
Greer, SC 29650
Phone
(864) 297-6365
Fax
(864) 297-7080
NPI assigned
May 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Mary Jane Waldrop
Title
Insurance Specialist
Phone
(864) 297-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2558 SC Primary

Addresses

Primary practice location

201 Old Boiling Springs Rd
Greer, SC 29650

Mailing address

PO Box 27143
Greenville, SC 29616-2143
Phone (864) 297-6365

Other identifiers 1

IdentifierTypeStateIssuer
ZA9722MedicaidSC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619926128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27143",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296162143",
            "telephone_number": "864-297-6365",
            "fax_number": "864-297-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BOILING SPRINGS RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-297-6365",
            "fax_number": "864-297-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM LINKS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "864-297-6365",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9722",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.