NPIMap

Organization Active NPI

Palmetto Endodontics, LLC

  • Endodontics
  • Columbia, SC
National Provider Identifier
1801938568
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
SC3675 Issued in SC
Legal business name
PALMETTO ENDODONTICS, LLC
Practice address
4023 Forest Dr
Columbia, SC 29204-4313
Phone
(803) 782-7722
Fax
(803) 782-4573
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Todd R Barrett, DMDNPI 1063465136
Title
Endodontist
Phone
(803) 782-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X SC3675 SC Primary

Addresses

Primary practice location

4023 Forest Dr
Columbia, SC 29204-4313

Mailing address

4023 Forest Dr
Columbia, SC 29204-4313
Phone (803) 782-7722

National Provider Directory

National Provider Directory
Tax ID family
Palmetto Endodontics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4023 Forest Dr
Columbia, SC 29204
Phone (803) 782-7722

Practitioners & affiliated clinicians

Practitioners 4

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1801938568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044313",
            "telephone_number": "803-782-7722",
            "fax_number": "803-782-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "803-782-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "SC",
            "license": "SC3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.