Elzie Lee Tate III, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1903 Issued in SC

Practice address

8737 Asheville Hwy
Spartanburg, SC 29316-4609

Phone

(864) 578-5812

Fax

(864) 599-7804

NPI assigned

Feb 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspring Family Dental, PA

  • Dental Clinic/Center
  • Spartanburg, SC
  • NPI 1700375987
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881732691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19309 ASHEVILLE HWY",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569130",
            "telephone_number": "864-457-4037",
            "fax_number": "864-599-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 ASHEVILLE HWY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293164609",
            "telephone_number": "864-578-5812",
            "fax_number": "864-599-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ELZIE",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Tapp
• Felicia Tapp, NP
• Sylvia S Tarazi, M.D.
• Anthony Edward Tarrant, BACHELOR OF HUMAN SE
• Daisy J Tate, BA
• John Thompson Tate, MD
• Tawanna Nichole Tate
• Maliha Marino Taufiq, DO
• Taykare Health Solutions, LLC
• April Taylor

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.