Organization Active NPI

Parkway Family Dentistry

  • Dentist
  • Greer, SC
National Provider Identifier
1982899167
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3810 Issued in SC
Legal business name
PARKWAY FAMILY DENTISTRY
Practice address
319 The Parkway
Greer, SC 29650
Phone
(864) 968-1777
Fax
(864) 968-0827
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. David Harmon Bryant
Title
Owner/Dentist
Phone
(864) 968-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3810 SC Primary

Addresses

Primary practice location

319 The Parkway
Greer, SC 29650

Mailing address

319 The Parkway
Greer, SC 29650
Phone (864) 968-1777

Other identifiers 1

IdentifierTypeStateIssuer
ZA9657MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1982899167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 THE PARKWAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-968-1777",
            "fax_number": "864-968-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 THE PARKWAY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "29650",
            "telephone_number": "864-968-1777",
            "fax_number": "864-968-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HARMON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "864-968-1777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9657",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.