NPIMap

Organization Active NPI

Pelham Oaks Dental

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1811046709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3565 Issued in SC
Legal business name
PELHAM OAKS DENTAL
Practice address
1412 Pelham Rd
Greenville, SC 29615-3921
Phone
(864) 234-7023
Fax
(864) 458-7650
NPI assigned
Jan 9, 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
Anthony H Morrow II, DMDNPI 1225276959
Title
Partner
Phone
(864) 234-7023

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3565 SC Primary

Addresses

Primary practice location

1412 Pelham Rd
Greenville, SC 29615-3921

Mailing address

1412 Pelham Rd
Greenville, SC 29615-3921
Phone (864) 234-7023

National Provider Directory

National Provider Directory

Locations

1412 Pelham Rd
Greenville, SC 29615
Phone (864) 234-7023

Practitioners & affiliated clinicians

Practitioners 3

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811046709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153921",
            "telephone_number": "864-234-7023",
            "fax_number": "864-458-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153921",
            "telephone_number": "864-234-7023",
            "fax_number": "864-458-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM OAKS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "864-234-7023",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, 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.