Carolina Family Orthodontics of Greenridge, LLC
NPI 1013367499ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Greenville, SC
Dentist, Orthodontics and Dentofacial Orthopedics in Greenville, South Carolina, registered in NPPES in June 2016, part of Fdh Holdings. The authorized official on file is Beth Louise Illsley, N/A, Director Of Insurance.
Overview
| NPI | 1013367499 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fdh Holdings |
| NPI issued | Jun 16, 2016 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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