NPIMap

Organization Active NPI

Jim Nasim DMD PA

  • General Practice Dentistry
  • Spartanburg, SC
National Provider Identifier
1821286204
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2881 Issued in SC
Legal business name
JIM NASIM DMD PA
Doing business as
Westgate Family and Cosmetic Dentistry
Practice address
108 Burton St
Spartanburg, SC 29301-5400
Phone
(864) 576-7169
Fax
(864) 576-7996
NPI assigned
Oct 10, 2007
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) 576-7169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2881 SC Primary

Addresses

Primary practice location

108 Burton St
Spartanburg, SC 29301-5400

Mailing address

108 Burton Street
Spartanburg, SC 29301
Phone (864) 576-7169

Other names 1

  • Westgate Family and Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jim Nasim DMD PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1821286204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BURTON STREET",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "29301",
            "telephone_number": "864-576-7169",
            "fax_number": "864-576-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 BURTON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015400",
            "telephone_number": "864-576-7169",
            "fax_number": "864-576-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIM NASIM DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "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": "864-576-7169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westgate Family and Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spartanburg, 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.