NPIMap

Organization Active NPI

Crestview Family Dental, PC

  • Dentist
  • North Augusta, SC
National Provider Identifier
1851743249
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DGD 8744 Issued in SC
Legal business name
CRESTVIEW FAMILY DENTAL, PC
Practice address
99 Crestview Dr
North Augusta, SC 29841-4701
Phone
(402) 249-0002
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Steven John Van de Graaff, DDSNPI 1548611536
Title
Dentist
Phone
(402) 249-0002

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DGD 8744 SC Primary

Addresses

Primary practice location

99 Crestview Dr
North Augusta, SC 29841-4701

Mailing address

99 Crestview Dr
North Augusta, SC 29841-4701
Phone (803) 593-5386

National Provider Directory

National Provider Directory

Locations

99 Crestview Dr
North Augusta, SC 29841
Phone (402) 249-0002

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": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1851743249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRESTVIEW DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414701",
            "telephone_number": "803-593-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CRESTVIEW DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298414701",
            "telephone_number": "402-249-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTVIEW FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "VAN DE GRAAFF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "402-249-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "DGD 8744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Augusta, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.