NPIMap

Organization Active NPI

Prisma Health-Midlands

  • Dentist
  • Columbia, SC
National Provider Identifier
1740334911
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PRISMA HEALTH-MIDLANDS
Practice address
10 Richland Medical Park Dr
Palmetto Health Dental Clinic
Columbia, SC 29203-6892
Phone
(803) 296-2548
Fax
(803) 296-2548
NPI assigned
Jan 23, 2007
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PRISMA HEALTH DENTAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Polly H Miller
Title
VP Payor Strategies Alignment
Phone
(864) 522-2286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X SC Primary

Addresses

Primary practice location

10 Richland Medical Park Dr
Palmetto Health Dental Clinic
Columbia, SC 29203-6892

Mailing address

PO Box 5301
Palmetto Health Dental Clinic
Columbia, SC 29250-5301
Phone (803) 296-2548

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Karla.powell@prismahealth.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Health105 organizations share this tax ID, including this one
Part of
Palmetto Health

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

10 Richland Medical Park Dr
Columbia, SC 29203
Phone (803) 434-6482

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1740334911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5301",
            "address_2": "PALMETTO HEALTH DENTAL CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292505301",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RICHLAND MEDICAL PARK DR",
            "address_2": "PALMETTO HEALTH DENTAL CLINIC",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036892",
            "telephone_number": "803-296-2548",
            "fax_number": "803-296-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA HEALTH-MIDLANDS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRISMA HEALTH DENTAL CLINIC",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "POLLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP PAYOR STRATEGIES ALIGNMENT",
        "authorized_official_telephone_number": "864-522-2286"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Karla.powell@prismahealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10 Richland Medical Park Dr",
            "address_2": "Palmetto Health Dental Clinic",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292036892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 14, 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.