JIM NASIM (NPI# 1225406960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225406960 |
| Entity Type | Organization |
| Organization Name | JIM NASIM |
| Other Organization Name | CAROLINA DENTAL DOCS OF GREENWOOD |
| Practice Address |
101 West Durst Avenue Greenwood SC 29649 |
| Practice Telephone | 8645767169 |
| Mailing Telephone | 8645767169 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2017-05-10 |
| Authorized Official Name | BARBARA MARTIN (HR MANAGER) |
| Authorized Official Telephone | 7703823536 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2881 | SC | Dental Providers |
| Y | 122300000X | Dentist | 2881 | SC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Carolina Dental Docs of Greenwood | Doing Business As Name - Organization |
| Street Address |
101 WEST DURST AVENUE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275981003 | Foster Orthodontics, Pa | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
| 1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
| 1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
| 1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| 1538419080 | James Self Corley IIi | Pharmacist | 1302 Hwy 72-221 East, Greenwood, SC 29649 | 2012-09-12 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508483611 | Monica Vance | Dentist | 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 | 2020-07-06 |
| 1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
| 1881152585 | Center Grove Dental, LLC | Dentist | 4800 W Smith Valley Rd Ste K, Greenwood, IN 46142-9195 | 2019-03-12 |
| 1184174815 | Dr. Subodh Gurung | Dentist | 506 Bypass 72 Nw, Greenwood, SC 29649-1300 | 2016-10-05 |
| 1376908160 | Jeffrey Golder D.d.s. P.C. | Dentist | 4800 W Smith Valley Rd, Ste K, Greenwood, IN 46142-9198 | 2015-12-21 |
| 1558742759 | Seema Pillai | Dentist | 704 S State Road 135 Ste A, Greenwood, IN 46143-6501 | 2015-06-12 |
| 1053710202 | Garrett Fiorenza | Dentist | 438 S Emerson Ave Ste 230, Greenwood, IN 46143-1948 | 2014-08-13 |
| 1962849117 | Jillian Helene Samela | Dentist | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2013-05-29 |
| 1437408630 | Mark Allan Vorhies | Dentist | 1678 Fry Road, Suite A, Greenwood, IN 46142-1175 | 2012-09-04 |
| 1700172509 | Priya Patel | Dentist | 601 Library Park Dr Ste B-1, Greenwood, IN 46142-1562 | 2011-06-21 |
| Find all providers in GREENWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.