Active NPI
Pasui Family Dentistry - Sda LLC
- General Practice Dentistry
- Easley, SC
National Provider Identifier
1780159129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PASUI FAMILY DENTISTRY - SDA LLC
- Practice address
- 2101 Powdersville Rd
Easley, SC 29642-8920 - Phone
- (864) 269-5290
- NPI assigned
- Oct 12, 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
- Mrs. Jenni Tomlinson
- Title
- Credentialing Specialist
- Phone
- (864) 269-5290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2101 Powdersville Rd
Easley, SC 29642-8920
Mailing address
2101 Powdersville Rd
Easley, SC 29642-8920
Phone (864) 269-5290
Other names 1
- Pasui Family Dentistry
National Provider Directory
National Provider DirectoryLocations
2101 Powdersville Rd
Easley, SC 29642
Phone (864) 269-5290
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Spartanburg, SC
- NPI 1245379114
-
- General Practice Dentistry
- Easley, SC
- NPI 1275563983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1780159129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 POWDERSVILLE RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296428920",
"telephone_number": "864-269-5290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 POWDERSVILLE RD",
"city": "EASLEY",
"state": "SC",
"postal_code": "296428920",
"telephone_number": "864-269-5290"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASUI FAMILY DENTISTRY - SDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-12",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "TOMLINSON",
"authorized_official_first_name": "JENNI",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "864-269-5290",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pasui Family Dentistry",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Pasui Family Dentistry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.