Active NPI
Allen Adgerson
- Home Modifications Contractor
- Orangeburg, SC
National Provider Identifier
1770030512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- Practice address
- 1421 Hidden Valley Dr
Orangeburg, SC 29118-2014 - Phone
- (803) 662-4973
- NPI assigned
- Sep 9, 2016
- Last updated
- Sep 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | Primary |
Addresses
Primary practice location
1421 Hidden Valley Dr
Orangeburg, SC 29118-2014
Mailing address
1421 Hidden Valley Dr
Orangeburg, SC 29118-2014
Phone (803) 662-4973
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473379200000",
"number": "1770030512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 HIDDEN VALLEY DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182014",
"telephone_number": "803-662-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 HIDDEN VALLEY DR",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291182014",
"telephone_number": "803-662-4973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADGERSON",
"first_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-09-09",
"last_updated": "2016-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
- Janet Paparella Adams
- Michael A Adams, MA REHAB COUNSELING
- Stuart T Adams, MD
- Michael Antonio Addison
- Adeniyi Ajao Adelakun, MD
- Advanced Diagnostic Imaging Center, LLC
- Advanced Diagnostic Imaging, LLC
- Advantage Health and Wellness
- Affinity Home Care Service (Affinity Home Care)
- Affordable Dentures & Implants - Orangeburg II, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.