Organization Active NPI

Carolina Dental Associates, P.a.

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1689896938
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3327SC Issued in SC
Legal business name
CAROLINA DENTAL ASSOCIATES, P.A.
Practice address
5101 Forest Drive
Columbia, SC 29206
Phone
(803) 782-8786
Fax
(803) 782-6682
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Caroline Jones, D.M.D.
Title
Owner
Phone
(803) 782-8786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3327SC SC Primary

Addresses

Primary practice location

5101 Forest Drive
Columbia, SC 29206

Mailing address

P.O. Box 6468
Columbia, SC 29206
Phone (803) 782-8786

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689896938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 6468",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-782-8786",
            "fax_number": "803-782-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DRIVE",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29206",
            "telephone_number": "803-782-8786",
            "fax_number": "803-782-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DENTAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-782-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3327SC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • 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.