NPIMap

Organization Active NPI

Midlands Dental Group, P.L.

Doing business as Drs. Ellis Green and Green

  • Dental Clinic/Center
  • Columbia, SC
National Provider Identifier
1942261110
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MIDLANDS DENTAL GROUP, P.L.
Doing business as
Drs. Ellis Green and Green
Practice address
8905 Two Notch Rd
Columbia, SC 29223-6367
Phone
(803) 788-9593
Fax
(803) 788-3123
NPI assigned
Mar 29, 2006
Last updated
Jan 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Authorized official

Name
Ms. Victoria A Gunter
Title
Practice Manager
Phone
(803) 788-9593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

8905 Two Notch Rd
Columbia, SC 29223-6367

Mailing address

8905 Two Notch Rd
Columbia, SC 29223-6367
Phone (803) 788-9593

Other names 1

  • Drs. Ellis Green and Green Doing business as

National Provider Directory

National Provider Directory

Locations

8905 Two Notch Rd
Columbia, SC 29223
Phone (803) 783-2274

Practitioners & affiliated clinicians

Practitioners 6

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1942261110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236367",
            "telephone_number": "803-788-9593",
            "fax_number": "803-788-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236367",
            "telephone_number": "803-788-9593",
            "fax_number": "803-788-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLANDS DENTAL GROUP, P.L.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "GUNTER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-788-9593",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Ellis Green and Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.