NPIMap

Organization Active NPI

Little P.C.

  • Dental Clinic/Center
  • Covington, GA
National Provider Identifier
1689184129
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LITTLE P.C.
Practice address
13015 Brown Bridge Rd Ste 340&350
Covington, GA 30016-9111
Phone
(843) 990-9998
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Monique Tucker
Title
Director of Insurance
Phone
(843) 990-9998

Specialties & licenses 1

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

Addresses

Primary practice location

13015 Brown Bridge Rd Ste 340&350
Covington, GA 30016-9111

Mailing address

250 Adley Way
Greenville, SC 29607-6511
Phone (843) 990-9998

Other names 1

  • DentalHome of Covington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13015 Brown Bridge Rd
Ste 340350
Covington, GA 30016
Phone (843) 990-9998

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1689184129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076511",
            "telephone_number": "843-990-9998",
            "fax_number": "866-568-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 BROWN BRIDGE RD STE 340&350",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300169111",
            "telephone_number": "843-990-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "843-990-9998"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DentalHome of Covington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DentalHome of Covington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.