Organization Active NPI

Family Dentistry

Doing business as J. Michael Havird DMD PC

  • General Practice Dentistry
  • North Augusta, SC
National Provider Identifier
1871743682
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2109 Issued in SC
Legal business name
FAMILY DENTISTRY
Doing business as
J. Michael Havird DMD PC
Practice address
1810 Knox Ave Ste a
North Augusta, SC 29841-2903
Phone
(803) 279-0015
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mrs. Julie Corley
Title
Office Manager
Phone
(803) 279-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2109 SC Primary

Addresses

Primary practice location

1810 Knox Ave Ste a
North Augusta, SC 29841-2903

Mailing address

1810 Knox Ave Ste a
North Augusta, SC 29841-2903
Phone (803) 279-0015

Other names 1

  • J. Michael Havird DMD PC Doing business as

National Provider Directory

National Provider Directory

Locations

1810 Knox Ave
#A
North Augusta, SC 29841
Phone (803) 279-0015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1871743682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 KNOX AVE STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412903",
            "telephone_number": "803-279-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 KNOX AVE STE A",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298412903",
            "telephone_number": "803-279-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "CORLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-279-0015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Michael Havird DMD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2008; 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.