Active NPI
Align America SC, LLC
Doing business as Align Fort Mill
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Mill, SC
National Provider Identifier
1952965345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- ALIGN AMERICA SC, LLC
- Doing business as
- Align Fort Mill
GoKids Pediatric Dentistry Fort Mill - Practice address
- 130 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6566 - Phone
- (803) 887-2319
- NPI assigned
- May 1, 2019
- Last updated
- Aug 14, 2023
- 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
- Dr. Martin Avey
- Title
- Chief Clinical Officer
- Phone
- (803) 887-2319
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | NU | Primary |
Addresses
Primary practice location
130 Ben Casey Dr Ste 105
Fort Mill, SC 29708-6566
Mailing address
3121 Springbank LN Ste G
Charlotte, NC 28226-3347
Other practice location 1
259 Textile Way Ste 103
Fort Mill, SC 29715-4550
Phone (803) 887-2319
Other names 2
- Align Fort Mill
- GoKids Pediatric Dentistry Fort Mill
National Provider Directory
National Provider Directory- Tax ID family
- Align America SC LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba GoClear Orthodontics Fort Mill
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Mill, SC
- NPI 1841073798
-
dba GoClear Orthodontics Columbia
- Orthodontics and Dentofacial Orthopedics Dentistry
- Columbia, SC
- NPI 1891475000
Locations
130 Ben Casey Dr
Ste 105
Fort Mill, SC 29708
Phone (803) 547-8200
259 Textile Way
Ste 103
Fort Mill, SC 29715
Phone (803) 650-3068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691971200000",
"number": "1952965345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 SPRINGBANK LN STE G",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282263347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 BEN CASEY DR STE 105",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086566",
"telephone_number": "803-887-2319"
}
],
"practiceLocations": [
{
"address_1": "259 Textile Way Ste 103",
"address_purpose": "LOCATION",
"city": "Fort Mill",
"state": "SC",
"postal_code": "297154550",
"country_code": "US",
"telephone_number": "803-887-2319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ALIGN AMERICA SC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-01",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A",
"authorized_official_last_name": "AVEY",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "803-887-2319",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Align Fort Mill",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Align Fort Mill",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GoKids Pediatric Dentistry Fort Mill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.