Organization Active NPI

Norman B. Fine, D.M.D., P.C.

  • Periodontics
  • Greenville, SC
National Provider Identifier
1932451341
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4480-762 Issued in SC
Legal business name
NORMAN B. FINE, D.M.D., P.C.
Practice address
517 W Butler Rd
Greenville, SC 29607-4833
Phone
(864) 299-5900
Fax
(864) 299-5033
NPI assigned
Oct 9, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NORMAN B. FINE, D.M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Brandy L Merritt
Title
Office Administrator
Phone
(864) 299-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 4480-762 SC Primary

Addresses

Primary practice location

517 W Butler Rd
Greenville, SC 29607-4833

Mailing address

517 W Butler Rd
Greenville, SC 29607-4833
Phone (864) 299-5900

National Provider Directory

National Provider Directory
Part of
Norman B Fine DMD PC

Locations

517 W Butler Rd
Greenville, SC 29607
Phone (843) 697-2780

Practitioners & affiliated clinicians

Practitioners 1

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1932451341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-299-5900",
            "fax_number": "864-299-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 W BUTLER RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074833",
            "telephone_number": "864-299-5900",
            "fax_number": "864-299-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMAN B. FINE, D.M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORMAN B. FINE, D.M.D., P.C.",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-299-5900"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "4480-762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.