Organization Active NPI

RDMB, LLC

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1679911036
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8203 Issued in SC
Legal business name
RDMB, LLC
Practice address
1109 W Poinsett St
Ste. a
Greer, SC 29650-1318
Phone
(864) 968-2444
Fax
(864) 968-2446
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Nelsie Alvarez
Title
Office Manager
Phone
(864) 968-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8203 SC Primary

Addresses

Primary practice location

1109 W Poinsett St
Ste. a
Greer, SC 29650-1318

Mailing address

1109 W Poinsett St
Ste. a
Greer, SC 29650-1318
Phone (864) 968-2444

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

National Provider Directory

National Provider Directory

Locations

1109 W Poinsett St
#A
Greer, SC 29650
Phone (803) 627-5245

NPI Registry JSON

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1679911036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W POINSETT ST",
            "address_2": "STE. A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501318",
            "telephone_number": "864-968-2444",
            "fax_number": "864-968-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W POINSETT ST",
            "address_2": "STE. A",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501318",
            "telephone_number": "864-968-2444",
            "fax_number": "864-968-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDMB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "NELSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-968-2444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.