Organization Active NPI

Sandhills Dentistry, Inc.

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1811020456
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2752 Issued in SC
Legal business name
SANDHILLS DENTISTRY, INC.
Practice address
2000 Clemson Rd
Suite 15
Columbia, SC 29229-9538
Phone
(803) 462-0249
Fax
(803) 462-0419
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joyce A Radeka, DMD
Title
Owner
Phone
(803) 462-0249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2752 SC Primary

Addresses

Primary practice location

2000 Clemson Rd
Suite 15
Columbia, SC 29229-9538

Mailing address

2000 Clemson Rd
Suite 15
Columbia, SC 29229-9538
Phone (803) 462-0249

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811020456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CLEMSON RD",
            "address_2": "SUITE 15",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299538",
            "telephone_number": "803-462-0249",
            "fax_number": "803-462-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CLEMSON RD",
            "address_2": "SUITE 15",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292299538",
            "telephone_number": "803-462-0249",
            "fax_number": "803-462-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDHILLS DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADEKA",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-462-0249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2752",
            "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 Aug 22, 2020; 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.