Organization Active NPI

Pasui Family Dentistry - Sda LLC

  • General Practice Dentistry
  • Easley, SC
National Provider Identifier
1780159129
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Oct 9, 2023

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.