Active NPI
Thomas William Talbert Jr., D.M.D.
- Dentist
- Columbia, SC
National Provider Identifier
1639245772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2001
- Practice address
- 1707 Bernardin Ave
Columbia, SC 29204-2004 - Phone
- (803) 254-5764
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2001 | SC | Primary |
Addresses
Primary practice location
1707 Bernardin Ave
Columbia, SC 29204-2004
Mailing address
1707 Bernardin Ave
Columbia, SC 29204-2004
Phone (803) 254-5764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z2001-3 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639245772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 BERNARDIN AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042004",
"telephone_number": "803-254-5764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 BERNARDIN AVE",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292042004",
"telephone_number": "803-254-5764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALBERT",
"first_name": "THOMAS",
"middle_name": "WILLIAM",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "2001",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z2001-3",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.