Fajas of Columbia LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

FAJAS OF COLUMBIA LLC

Practice address

7201 Two Notch Rd Ste Al120
Columbia, SC 29223-1319

Phone

(803) 602-5570

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Dennis Sulton, CNA

Title

Owner

Phone

(803) 602-5570

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Thelisa Y Sulton

  • Technician/Technologist
  • Columbia, SC
  • NPI 1851888978
  NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1659943140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 TWO NOTCH RD STE AL120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231319",
            "telephone_number": "803-602-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 TWO NOTCH RD STE AL120",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231319",
            "telephone_number": "803-602-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAJAS OF COLUMBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "SULTON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-602-5570",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fairey, MS, CGC
• John O. Fairey, M.D.
• Abigail Fairfax, BCBA
• Chamarlyn Levelle Fairley, PHD
• Scott D Fairweather, LISW-CP, CAC-I
• Darin J Faller, DC
• Briana Fallon, PA-C
• Families First Always
• Families United Network Inc
• Family and Individual Therapeutic Healing LLC

• Other Specialist/Technologist in Columbia, SC
• Providers in Columbia, SC by specialty
• Other Specialist/Technologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.