Regenesis Organzation Community Health Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

REGENESIS ORGANZATION COMMUNITY HEALTH CENTER

Practice address

550 S Church Street
Unit 2
Spartanburg, SC 29306-3306

Phone

(864) 582-2817

NPI assigned

Dec 7, 2009

Organization subpart

Yes

Parent organization

REGENESIS ORGANZATION COMMUNITY HEALTH CENTERAs reported in NPPES

Name

George Newby

Title

Ceo

Phone

(864) 582-2817

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Allen Thompson, DDS

  • Pediatric Dentistry
  • Columbia, SC
  • NPI 1790076594

  General Practice

  NPD (past)

Part of

Regenesis Organization

Locations

• ReGenesis Community Health Center Dental Office Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 3, 2010.

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1659609485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5158",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045158",
            "telephone_number": "864-582-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S CHURCH STREET",
            "address_2": "UNIT 2",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063306",
            "telephone_number": "864-582-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENESIS ORGANZATION COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGENESIS ORGANZATION COMMUNITY HEALTH CENTER",
        "enumeration_date": "2009-12-07",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-582-2817"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9355",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReGenesis Community Health Center Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Regenesis Organization Community Health Center
• Regional Medical Supply, Inc
• Regional Psychiatry
• William W Reichert, MD
• Jamaeka Nicole Reid, MD
• Samantha Nicole Reid, RN

• All providers in Spartanburg, SC
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.