Spring Valley Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC4008 Issued in SC

Legal business name

SPRING VALLEY DENTAL ASSOCIATES LLC

Practice address

9165 Two Notch Rd
Columbia, SC 29223-5832

Phone

(803) 788-2560

Fax

(803) 788-1363

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Fitts Johnson, DMDNPI 1467505339

Title

Co-President

Phone

(803) 788-2560

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.

• Brandon Fitts Johnson, DMD

  • Dentist
  • Columbia, SC
  • NPI 1467505339
  NPD (past) Authorized official

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679779888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235832",
            "telephone_number": "803-788-2560",
            "fax_number": "803-788-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235832",
            "telephone_number": "803-788-2560",
            "fax_number": "803-788-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "FITTS",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "803-788-2560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC4008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy McPherson Spotts, RN
• Destanie Elizabeth Rose Spradley
• Nathaniel Phelps Spreare, D.C.
• Spring Oak Kathwood LLC
• Spring Valley Chiropractic
• Spring Valley Family Practic
• Milaysia Springer
• Marydith Springs, PT
• Mathew Scott Springs, M.D.
• Springtree Manor LLC

• General Practice Dentistry in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.