Carolina Periodontics & Dental Implants

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8638 Issued in SC

Legal business name

CAROLINA PERIODONTICS & DENTAL IMPLANTS

Practice address

112 W Broad St Unit 405
Greenville, SC 29601-2688

Phone

(480) 289-0507

NPI assigned

Aug 24, 2016

Last updated

Aug 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawna Baxter

Title

Periodontist/Owner

Phone

(480) 289-0507

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1649725102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W BROAD ST UNIT 405",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W BROAD ST UNIT 405",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012688",
            "telephone_number": "480-289-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PERIODONTICS & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "PERIODONTIST/OWNER",
        "authorized_official_telephone_number": "480-289-0507",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "8638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Oral & Facial Surgery, P.a.
• Carolina Orthopaedic and Neurosurgical Associates
• Carolina Orthopaedic Center
• Carolina Pain Scrambler Center
• Carolina Performance Chiropractic
• Carolina Physicians and Rehab, LLC.
• Carolina Rehab & Mobility (American Rehab of Greenville)
• Carolina Sleep Therapy LLC
• Carolina Spine & Health Inc.
• Carolina Spine & Rehab LLC

• Periodontics in Greenville, SC
• Providers in Greenville, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.