Organization Active NPI

Brian R Cherry LLC

Doing business as Cherry Orchard Oral Implant Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Greenville, SC
National Provider Identifier
1841695855
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
SC4307 Issued in SC
Legal business name
BRIAN R CHERRY LLC
Doing business as
Cherry Orchard Oral Implant Surgery
Practice address
101 Halton Rd Ste a
Greenville, SC 29607-3507
Phone
(864) 603-2464
Fax
(864) 603-2461
NPI assigned
Nov 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Dr. Brian R Cherry, DMDNPI 1285838078
Title
Owner
Phone
(864) 603-2464

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X SC4307 SC Primary

Addresses

Primary practice location

101 Halton Rd Ste a
Greenville, SC 29607-3507

Mailing address

101 Halton Rd Ste a
Greenville, SC 29607-3507
Phone (864) 603-2464

Other names 1

  • CHERRY ORCHARD ORAL IMPLANT SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

225 Halton Rd
Ste B
Greenville, SC 29607

101 Halton Rd
#A
Greenville, SC 29607
Phone (864) 603-2464

Practitioners & affiliated clinicians

Practitioners 1

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": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1841695855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HALTON RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-603-2464",
            "fax_number": "864-603-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HALTON RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073507",
            "telephone_number": "864-603-2464",
            "fax_number": "864-603-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R CHERRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-603-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "SC4307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHERRY ORCHARD ORAL IMPLANT SURGERY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHERRY ORCHARD ORAL IMPLANT SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 2021; 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.