Berea Comprehensive Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

2881 Issued in SC

Legal business name

BEREA COMPREHENSIVE DENTISTRY

Practice address

701 Sulphur Springs Rd
Greenville, SC 29617-1913

Phone

(864) 246-2181

NPI assigned

Jan 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mir Jim Nasim, DMD

Title

Dentist

Phone

(864) 246-2181

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• John Wesley Harden, DMD

  • Dentist
  • Greenville, SC
  • NPI 1427195346
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972650042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SULPHUR SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171913",
            "telephone_number": "864-246-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SULPHUR SPRINGS RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296171913",
            "telephone_number": "864-246-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEREA COMPREHENSIVE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASIM",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "JIM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "864-246-2181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "2881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9490",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Joy Bentley, NP
• Caleigh Bentley, LMSW
• Canisha Monai Benton, P.A
• Berea Community Healthcare, LLC (Cherrydale Post Acute)
• Berea Comprehensive Dentistry
• Berea Dental Care LLC
• Berea Eye Care LLC
• Amber Berean
• Khabonina Joy Beresford, LMSW
• Berg Chiropractic Centers (Alignlife of Cherrydale)

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.