WHOLE LIFE ON-SITE LLC (NPI# 1538702915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538702915 |
| Entity Type | Organization |
| Organization Name | WHOLE LIFE ON-SITE LLC |
| Practice Address |
301 Montague Ave Greenwood SC 29649-1939 |
| Mailing Address |
2320 E North St Ste Rr Greenville SC 29607-1247 |
| Practice Telephone | 8642297092 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2019-10-18 |
| Authorized Official Name | ZACHARY KUTHE (DIRECTOR OF COMMUNITY OUTREACH) |
| Authorized Official Telephone | 8437435323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
301 MONTAGUE AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29649-1939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801229224 | First Choice Dental of Greenwood | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2013-08-21 |
| 1467926659 | Whole Life Dental | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2019-01-22 |
| 1801200936 | Benjamin Dunlap | Dentist | 301 Montague Ave, Greenwood, SC 29649-1939 | 2014-06-17 |
| 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 |
| 1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
| 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 |
| Find all providers in zip 29649 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471814 | White River Family Dental and Implant Center | Clinic/Center | 1638 W Smith Valley Rd Ste B, Greenwood, IN 46142-1550 | 2020-09-14 |
| 1568073096 | Fdg Mobile | Clinic/Center | 438 S Emerson Ave Ste 231, Greenwood, IN 46143-1948 | 2020-08-10 |
| 1730708157 | Amy Montefalco D.d.s LLC | Clinic/Center | 2801 Fairview Pl Ste U, Greenwood, IN 46142-1339 | 2020-04-15 |
| 1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
| 1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
| 1982205415 | Stacy D Johnson, Dds, PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-11-02 |
| 1720693401 | Samela Family Dentistry, LLC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2020-09-10 |
| 1619586773 | Stacy D Johnson Dds PC | Clinic/Center | 3056 W Stones Crossing Rd, Greenwood, IN 46143-6484 | 2020-07-24 |
| 1205497880 | Mark E Gleixner, Dds, PC | Clinic/Center | 1678 Fry Rd Ste B, Greenwood, IN 46142-1176 | 2019-06-25 |
| 1972891687 | Shank Orthodontics, LLC | Clinic/Center | 1700 W Smith Valley Rd, Suite A-1, Greenwood, IN 46142-1599 | 2011-07-14 |
| 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.