Active NPI
Todd E. Hamilton, D.D.S.
- Dentist
- Anderson, SC
National Provider Identifier
1639629983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3401
- Practice address
- 1112 Cornelia Road
Anderson, SC 29621 - Phone
- (864) 225-5611
- NPI assigned
- Oct 11, 2016
- 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 | 3401 | SC | Primary |
Addresses
Primary practice location
1112 Cornelia Road
Anderson, SC 29621
Mailing address
1112 Cornelia Road
Anderson, SC 29621
Phone (864) 225-5611
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3401 | SC | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornelia Dental LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Anderson, SC
- NPI 1285592824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1639629983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 CORNELIA ROAD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-225-5611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 CORNELIA ROAD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "29621",
"telephone_number": "864-225-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "TODD",
"middle_name": "E.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "3401",
"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 Oct 11, 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.