Active NPI
James Keith Rabon, DMD
- General Practice Dentistry
- Sumter, SC
National Provider Identifier
1659454064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3013
- Practice address
- 227 Alice Drive
Suite 3
Sumter, SC 29150 - Phone
- (803) 774-5300
- Fax
- (803) 773-9601
- NPI assigned
- Oct 23, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3013 | SC | Primary |
Addresses
Primary practice location
227 Alice Drive
Suite 3
Sumter, SC 29150
Mailing address
227 Alice Drive
Suite 3
Sumter, SC 29150
Phone (803) 774-5300
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Health Group LLC | General Practice | 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.
-
- General Practice Dentistry
- Sumter, SC
- NPI 1841008273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209427200000",
"number": "1659454064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 ALICE DRIVE",
"address_2": "SUITE 3",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-774-5300",
"fax_number": "803-773-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 ALICE DRIVE",
"address_2": "SUITE 3",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-774-5300",
"fax_number": "803-773-9601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABON",
"first_name": "JAMES",
"middle_name": "KEITH",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2008-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.