Active NPI
Carolina Dental Docs LLC General Dentistry for Kids
- General Practice Dentistry
- Spartanburg, SC
National Provider Identifier
1942601174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS
- Practice address
- 1460 John B White Sr Blvd, Ste 1-C
Spartanburg, SC 29306 - Phone
- (864) 641-0495
- Fax
- (864) 707-2133
- NPI assigned
- Sep 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Nasim, DMD
- Title
- Owner
- Phone
- (864) 641-0495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1460 John B White Sr Blvd, Ste 1-C
Spartanburg, SC 29306
Mailing address
1460 John B White Sr Blvd, Ste 1-C
Spartanburg, SC 29306
Phone (864) 641-0495
National Provider Directory
National Provider DirectoryLocations
1460 John B White SR Blvd
Ste 1C
Spartanburg, SC 29306
Phone (864) 641-0495
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.
-
- General Practice Dentistry
- Spartanburg, SC
- NPI 1619356839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942601174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 JOHN B WHITE SR BLVD, STE 1-C",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29306",
"telephone_number": "864-641-0495",
"fax_number": "864-707-2133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 JOHN B WHITE SR BLVD, STE 1-C",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "29306",
"telephone_number": "864-641-0495",
"fax_number": "864-707-2133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA DENTAL DOCS LLC GENERAL DENTISTRY FOR KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-08",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "NASIM",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-641-0495",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
- Carolina Attachment and Trauma Services
- Carolina Behavioral Care, LLC
- Carolina Center for Diabetes Education
- Carolina Ctr for Oral & Maxillofacial Surgery
- Carolina Dental Docs - on - the - Go, LLC
- Carolina Dialysis, LLC (Fresenius Kidney Care Carolina - Interstate Park)
- Carolina Family Acupuncture LLC
- Carolina First Transportation Ambulance of South Carolina (C.F.T. Ambulance of South Carolina)
- Carolina Foot Care LLC
- Carolina Health & Spine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.