Palms Dentistry 226 LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PALMS DENTISTRY 226 LLC

Practice address

25 Innovation Dr # 100
Greenville, SC 29607-5252

Phone

(864) 962-3508

Fax

(864) 962-3509

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Morgan Rogers

Title

Insurance Coordinator

Phone

(864) 962-3508

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1952937369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 INNOVATION DR # 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075252",
            "telephone_number": "864-962-3508",
            "fax_number": "864-962-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 INNOVATION DR # 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075252",
            "telephone_number": "864-962-3508",
            "fax_number": "864-962-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS DENTISTRY 226 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "864-962-3508"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.