Organization Active NPI

Henry M. Faris III, DMD PA

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1982774691
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3682 Issued in SC
Legal business name
HENRY M. FARIS III, DMD PA
Practice address
870 Cleveland St
Suite 2C
Greenville, SC 29601-4427
Phone
(864) 282-8555
Fax
(864) 282-8551
NPI assigned
Nov 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henry M Faris III, DMD
Title
Doctor
Phone
(864) 282-8555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3682 SC Primary

Addresses

Primary practice location

870 Cleveland St
Suite 2C
Greenville, SC 29601-4427

Mailing address

870 Cleveland St
Suite 2C
Greenville, SC 29601-4427
Phone (864) 282-8555

Other identifiers 1

IdentifierTypeStateIssuer
ZA9613MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982774691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-282-8555",
            "fax_number": "864-282-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLEVELAND ST",
            "address_2": "SUITE 2C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296014427",
            "telephone_number": "864-282-8555",
            "fax_number": "864-282-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY M. FARIS III, DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "864-282-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9613",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • 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.