Organization Active NPI

Adrian S Lineberger IV DDS III LLC

Doing business as Lineberger Dentistry Fort Mill

  • General Practice Dentistry
  • Fort Mill, SC
National Provider Identifier
1982596995
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADRIAN S LINEBERGER IV DDS III LLC
Doing business as
Lineberger Dentistry Fort Mill
Practice address
117 Spratt St Ste a
Fort Mill, SC 29715-4111
Phone
(803) 548-2191
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Amanda Patrick
Title
Practice Manager
Phone
(980) 859-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

117 Spratt St Ste a
Fort Mill, SC 29715-4111

Mailing address

347 N Caswell Rd Unit 201
Charlotte, NC 28204-2530
Phone (980) 859-7550

Other names 1

  • Lineberger Dentistry Fort Mill Doing business as

National Provider Directory

National Provider Directory

Locations

347 N Caswell Rd
Unit 201
Charlotte, NC 28204

Practitioners & affiliated clinicians

Practitioners 3

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": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1982596995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N CASWELL RD UNIT 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042530",
            "telephone_number": "980-859-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 SPRATT ST STE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297154111",
            "telephone_number": "803-548-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN S LINEBERGER IV DDS III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "980-859-7550"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lineberger 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 Jul 16, 2025; 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.