Active NPI
Pufferfish, LLC
Doing business as Capehart Family & Cosmetic Dentistry
- General Practice Dentistry
- Simpsonville, SC
National Provider Identifier
1750882338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4480
- Legal business name
- PUFFERFISH, LLC
- Doing business as
- Capehart Family & Cosmetic Dentistry
- Practice address
- 621 SE Main St
Simpsonville, SC 29681-3234 - Phone
- (864) 963-7237
- NPI assigned
- Feb 28, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Fine
- Title
- Office Manager
- Phone
- (864) 963-7237
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4480 | SC | Primary |
Addresses
Primary practice location
621 SE Main St
Simpsonville, SC 29681-3234
Mailing address
621 SE Main St
Simpsonville, SC 29681-3234
Phone (864) 963-7237
Other names 1
- Capehart Family & Cosmetic Dentistry
National Provider Directory
National Provider DirectoryLocations
621 SE Main St
Simpsonville, SC 29681
Phone (864) 963-7237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519776000000",
"number": "1750882338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 SE MAIN ST",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813234",
"telephone_number": "864-963-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 SE MAIN ST",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296813234",
"telephone_number": "864-963-7237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUFFERFISH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A",
"authorized_official_last_name": "FINE",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "864-963-7237"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "4480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capehart Family & Cosmetic Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Pruitthealth Hospice, Inc. (PruittHealth Hospice - Simpsonville)
- Publix Super Markets Inc (Publix Pharmacy #0035)
- Publix Super Markets, Inc (Publix Pharmacy 1717)
- Publix Super Markets, Inc. (Publix Pharmacy #1608)
- Krishna Kumar Pudi, MD PA
- Jesse Pugh
- Stefanie Marie Putnam, M.D.
- Felicia Pyatt
- Josephine Querri
- Tracy Rabideau
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.