Individual provider Active NPI

Paul S. Coombs Jr., DMD

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1720173016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2628 Issued in SC
Practice address
1144 India Hook Rd
Suite C
Rock Hill, SC 29732-2783
Phone
(803) 324-5301
Fax
(803) 324-4027
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2628 SC Primary

Addresses

Primary practice location

1144 India Hook Rd
Suite C
Rock Hill, SC 29732-2783

Mailing address

1144 India Hook Rd
Suite C
Rock Hill, SC 29732-2783
Phone (803) 324-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140418000123 SC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9638301047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2628SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Coombs and Ross,LLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720173016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 INDIA HOOK RD",
            "address_2": "SUITE C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322783",
            "telephone_number": "803-324-5301",
            "fax_number": "803-324-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 INDIA HOOK RD",
            "address_2": "SUITE C",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322783",
            "telephone_number": "803-324-5301",
            "fax_number": "803-324-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "PAUL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.