Organization Active NPI

Halton Road Family Dentistry, PA

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1760711394
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2313 Issued in SC
Legal business name
HALTON ROAD FAMILY DENTISTRY, PA
Practice address
155A Halton Rd
Greenville, SC 29607-3507
Phone
(864) 289-9752
Fax
(864) 297-9053
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Sherri Gaul
Title
Office Staff
Phone
(864) 289-9752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2313 SC Primary

Addresses

Primary practice location

155A Halton Rd
Greenville, SC 29607-3507

Mailing address

155A Halton Rd
Greenville, SC 29607-3507
Phone (864) 289-9752

National Provider Directory

National Provider Directory

Locations

155A Halton Rd
Greenville, SC 29607
Phone (864) 289-9752

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1760711394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155A HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-289-9752",
            "fax_number": "864-297-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155A HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-289-9752",
            "fax_number": "864-297-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALTON ROAD FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GAUL",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "864-289-9752"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.