TYLAN CREEK FAMILY DENTISTRY GREENWOOD
NPI 1891286613
Clinic/Center - Dental in Greenwood, SC

NPI Status: Active since May 29, 2018

Contact Information

3710 HIGHWAY 221- 72E
GREENWOOD, SC
ZIP 29649
Phone: (864) 630-9103
Fax: (864) 603-2201

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  • Organization
  • Clinic/Center
  • Dental

About TYLAN CREEK FAMILY DENTISTRY GREENWOOD

This page provides the complete NPI Profile along with additional information for Tylan Creek Family Dentistry Greenwood, a provider established in Greenwood, South Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1891286613 assigned on May 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 2867 (SC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Darryl Lea Halbert Dmd (President)

NPI
1891286613
Provider Name
TYLAN CREEK FAMILY DENTISTRY GREENWOOD
Entity Type
Organization
Location Address
3710 HIGHWAY 221- 72E GREENWOOD, SC 29649
Location Phone
(864) 630-9103
Location Fax
(864) 603-2201
Mailing Address
330 HARRISON BRIDGE RD SIMPSONVILLE, SC 29680
Mailing Phone
(864) 630-9103
Mailing Fax
(864) 603-2201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2018
Last Update Date
08-09-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
2867
License State
SC

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DARRYL LEA HALBERT DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 407-4455

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2867OTHER (01)SCDENTAL LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891286613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28181481262
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 4 + 8 + 1 + 2 + 6 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1891286613 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891286613, enumerated in the NPI registry as an "organization" on May 29, 2018

The provider is located at 3710 Highway 221- 72e Greenwood, Sc 29649 and the phone number is (864) 630-9103

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 29, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.