NPIMap

Organization Active NPI

Constantine Dental PA

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1861886038
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4587 Issued in SC
Legal business name
CONSTANTINE DENTAL PA
Practice address
1 W Prentiss Ave
Greenville, SC 29605-4029
Phone
(864) 607-8848
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Dr. Richard Anthony Constantine, D.D.S.
Title
Dentist/Owner
Phone
(864) 387-9748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4587 SC Primary

Addresses

Primary practice location

1 W Prentiss Ave
Greenville, SC 29605-4029

Mailing address

1 W Prentiss Ave
Greenville, SC 29605-4029
Phone (864) 607-8848

National Provider Directory

National Provider Directory

Locations

1 W Prentiss Ave
Greenville, SC 29605
Phone (864) 607-8848

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": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1861886038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W PRENTISS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054029",
            "telephone_number": "864-607-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W PRENTISS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054029",
            "telephone_number": "864-607-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTINE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "CONSTANTINE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "864-387-9748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4587",
            "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 Mar 25, 2015; 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.