NPIMap

Organization Active NPI

Tylan Creek Family Dentistry

  • General Practice Dentistry
  • Simpsonville, SC
National Provider Identifier
1891890315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
SC2867 Issued in SC
Legal business name
TYLAN CREEK FAMILY DENTISTRY
Practice address
330 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone
(864) 962-6671
Fax
(864) 962-6683
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Darryl Lea Halbert, DMDNPI 1982758306
Title
President
Phone
(864) 962-6671

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X SC2867 SC Primary

Addresses

Primary practice location

330 Harrison Bridge Rd
Simpsonville, SC 29680-7133

Mailing address

330 Harrison Bridge Rd
Simpsonville, SC 29680-7133
Phone (864) 962-6671

National Provider Directory

National Provider Directory

Locations

330 Harrison Bridge Rd
Simpsonville, SC 29680
Phone (864) 562-6671

Practitioners & affiliated clinicians

Practitioners 7

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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891890315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-962-6671",
            "fax_number": "864-962-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 HARRISON BRIDGE RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807133",
            "telephone_number": "864-962-6671",
            "fax_number": "864-962-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLAN CREEK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALBERT",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-962-6671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC2867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.