Organization Active NPI

Haroldj Colburn DDS, LLC

  • Dental Clinic/Center
  • Spartanburg, SC
National Provider Identifier
1669645917
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2225 Issued in SC
Legal business name
HAROLDJ COLBURN DDS, LLC
Practice address
1410A John B White Blvd
Spartanburg, SC 29306-3927
Phone
(864) 574-5297
NPI assigned
Apr 8, 2008
Last updated
Apr 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Harold J. Colburn, DDSNPI 1023028065
Title
President
Phone
(864) 574-5297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2225 SC Primary

Addresses

Primary practice location

1410A John B White Blvd
Spartanburg, SC 29306-3927

Mailing address

1410A John B White Blvd
Spartanburg, SC 29306-3927
Phone (864) 574-5297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1669645917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410A JOHN B WHITE BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063927",
            "telephone_number": "864-574-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410A JOHN B WHITE BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293063927",
            "telephone_number": "864-574-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLDJ COLBURN DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "COLBURN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-574-5297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SC",
            "license": "2225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.