Organization Active NPI

First Choice Dental of Greenwood

  • General Practice Dentistry
  • Greenwood, SC
National Provider Identifier
1801229224
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10059 Issued in SC
Legal business name
FIRST CHOICE DENTAL OF GREENWOOD
Practice address
301 Montague Ave
Greenwood, SC 29649-1939
Phone
(864) 229-7092
Fax
(864) 223-1083
NPI assigned
Aug 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Ms. Debbie M Moss
Title
Office Manager
Phone
(864) 229-7092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10059 SC Primary

Addresses

Primary practice location

301 Montague Ave
Greenwood, SC 29649-1939

Mailing address

301 Montague Ave
Greenwood, SC 29649-1939
Phone (864) 229-7092

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1801229224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MONTAGUE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491939",
            "telephone_number": "864-229-7092",
            "fax_number": "864-223-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MONTAGUE AVE",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491939",
            "telephone_number": "864-229-7092",
            "fax_number": "864-223-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE DENTAL OF GREENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-229-7092",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.