NPIMap

Organization Active NPI

Little P.C.

  • Dental Clinic/Center
  • Pooler, GA
National Provider Identifier
1871005934
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LITTLE P.C.
Practice address
103 Park Ave Ste 200
Pooler, GA 31322-4262
Phone
(912) 988-3655
Fax
(866) 475-6212
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Authorized official

Name
Monique Tucker
Title
Director of Insurance
Phone
(843) 990-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

103 Park Ave Ste 200
Pooler, GA 31322-4262

Mailing address

250 Adley Way
Greenville, SC 29607
Phone (843) 990-9998

National Provider Directory

National Provider Directory
Tax ID family
Little PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1871005934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 ADLEY WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29607",
            "telephone_number": "843-990-9998",
            "fax_number": "866-568-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARK AVE STE 200",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224262",
            "telephone_number": "912-988-3655",
            "fax_number": "866-475-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "843-990-9998"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.