Columbia Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

30-03757 Issued in SC

Legal business name

COLUMBIA DENTISTRY, LLC

Practice address

421 Bush River Rd #5
Columbia, SC 29210

Phone

(803) 445-3906

NPI assigned

Mar 15, 2012

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shamar Bey El

Title

Manager

Phone

(803) 798-6333

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, and the practitioner matching its NPPES authorized official.

• Annette I Riley X, DMD

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1649285487
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1699040246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 BROAD RIVER ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292107332",
            "telephone_number": "803-798-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 BUSH RIVER RD #5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29210",
            "telephone_number": "803-445-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BEY EL",
        "authorized_official_first_name": "SHAMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-798-6333"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "30-03757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Counseling Center/Columbia Behavioral Medicine, P.a.
• Columbia Dental Associates
• Columbia Dental Care
• Columbia Dental Health Clinic
• Columbia Dental Health Clinic
• Columbia Denture Center - Columbia, P.C.
• Columbia Dermatology LLC
• Columbia Eye Clinic
• Columbia Eye Clinic PA
• Columbia Eye Clinic, PA

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.