Organization Active NPI

Simply Smile North East

  • Dentist
  • Columbia, SC
National Provider Identifier
1720772437
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIMPLY SMILE NORTH EAST
Practice address
147 Summit Centre Dr
Columbia, SC 29229-7613
Phone
(803) 939-2008
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Mrs. Sabrina Harper Dailey, D.D.SNPI 1447563143
Title
Owner
Phone
(706) 201-5205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

147 Summit Centre Dr
Columbia, SC 29229-7613

Mailing address

147 Summit Centre Dr
Columbia, SC 29229-7613
Phone (803) 939-2008

Other identifiers 1

IdentifierTypeStateIssuer
ZX8214MedicaidSC

National Provider Directory

National Provider Directory

Locations

147 Summit Centre Dr
Columbia, SC 29229
Phone (803) 865-1421

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1720772437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297613",
            "telephone_number": "803-939-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SUMMIT CENTRE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297613",
            "telephone_number": "803-939-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SMILE NORTH EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-201-5205",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8214",
            "state": "SC"
        }
    ],
    "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 Jun 6, 2023; 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.