Active NPI
James Bush, D.M.D.
- Dentist
- Spartanburg, SC
National Provider Identifier
1720499122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DGD 8357
- Practice address
- 301 E Blackstock Rd
Spartanburg, SC 29301-3737 - Phone
- (864) 576-8040
- NPI assigned
- May 20, 2014
- Last updated
- Oct 24, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DGD 8357 | SC | Primary |
| General Practice Dentistry | 1223G0001X | DGD 8357 | SC |
Addresses
Primary practice location
301 E Blackstock Rd
Spartanburg, SC 29301-3737
Mailing address
301 E Blackstock Rd
Spartanburg, SC 29301-3737
Phone (864) 576-8040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DGD 8357 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Dental LLC | General Practice | Current | Accepting new patients |
| Crowns Now Family Dentistry | General Practice | Past | Accepting new patients |
| Family Dental Health of Reidville Circle, LLC | Dentist | Past | Accepting new patients |
| Woodruff Family Dentistry | General Practice | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mauldin Square Dental
- General Practice Dentistry
- Mauldin, SC
- NPI 1831026186
-
- General Practice Dentistry
- Greenville, SC
- NPI 1265640601
-
- Dentist
- Spartanburg, SC
- NPI 1497110035
-
- General Practice Dentistry
- Woodruff, SC
- NPI 1710069182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477267200000",
"number": "1720499122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E BLACKSTOCK RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013737",
"telephone_number": "864-576-8040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E BLACKSTOCK RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293013737",
"telephone_number": "864-576-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2016-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "DGD 8357",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "DGD 8357",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.