Organization Active NPI

Spartanburg Endodontic Associates PA

  • Dentist
  • Spartanburg, SC
National Provider Identifier
1902167307
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1845 Issued in SC
Legal business name
SPARTANBURG ENDODONTIC ASSOCIATES PA
Practice address
154 Country Club Rd
Spartanburg, SC 29302-3364
Phone
(864) 582-0332
Fax
(864) 582-2263
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Dr. William Miller Edwards, DMDNPI 1033227772
Title
President-Spartanburg Endodontic As
Phone
(864) 582-0332

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1845 SC Primary

Addresses

Primary practice location

154 Country Club Rd
Spartanburg, SC 29302-3364

Mailing address

154 Country Club Rd
Spartanburg, SC 29302-3364
Phone (864) 582-0332

National Provider Directory

National Provider Directory

Locations

154 Country Club Rd
Spartanburg, SC 29302
Phone (864) 582-0332

Practitioners & affiliated clinicians

Practitioners 2

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1902167307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COUNTRY CLUB RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023364",
            "telephone_number": "864-582-0332",
            "fax_number": "864-582-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 COUNTRY CLUB RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023364",
            "telephone_number": "864-582-0332",
            "fax_number": "864-582-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG ENDODONTIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT-SPARTANBURG ENDODONTIC AS",
        "authorized_official_telephone_number": "864-582-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "1845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.