NPIMap

Individual provider Active NPI

Philip Clark Hunt, DMD

  • General Practice Dentistry
  • Greenville, SC
National Provider Identifier
1992091839
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DGD7024GD Issued in SC
Practice address
2101 Pelham Rd
Greenville, SC 29615-4006
Phone
(864) 288-5300
Fax
(864) 288-9430
NPI assigned
Jun 20, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DGD7024GD SC Primary

Addresses

Primary practice location

2101 Pelham Rd
Greenville, SC 29615-4006

Mailing address

2101 Pelham Rd
PO Box 25604
Greenville, SC 29615-4006
Phone (864) 288-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DGD7024GDSCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Creek Dental of Landrum, PA General Practice Past Accepting new patients
Wood Creek Dental PA Past Accepting new patients
Hunt Family Dental, LLC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1992091839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 PELHAM RD",
            "address_2": "PO BOX 25604",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154006",
            "telephone_number": "864-288-5300",
            "fax_number": "864-288-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154006",
            "telephone_number": "864-288-5300",
            "fax_number": "864-288-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "PHILIP",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD7024GD",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 20, 2011; 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.