Carmel Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12009721A Issued in IN

Legal business name

CARMEL ORAL & MAXILLOFACIAL SURGERY

Doing business as

Carmel Oral Surgery

Practice address

13590B N Meridian St
Suite 105
Carmel, IN 46032-1456

Phone

(317) 844-7626

Fax

(317) 844-3804

NPI assigned

Jul 15, 2008

Last updated

Jul 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stanley C. Jachimowicz, DDSNPI 1578568937

Title

President

Phone

(317) 844-7626

Specialties & licenses 1

Addresses

Other names 1

• Carmel Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stanley C. Jachimowicz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Carmel, IN
  • NPI 1578568937
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1013171594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13590B N MERIDIAN ST",
            "address_2": "SUITE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321406",
            "telephone_number": "317-844-7626",
            "fax_number": "317-844-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13590B N MERIDIAN ST",
            "address_2": "SUITE 105",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-844-7626",
            "fax_number": "317-844-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEL ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JACHIMOWICZ",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-844-7626",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009721A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carmel Dental Group
• Carmel Family Care, P.C.
• Carmel Family Dental LLC
• Carmel Family Dentistry PC
• Carmel Neuropsychology Services, P.C.
• Carmel Pediatric Dentistry LLC
• Carmel Pediatrics, LLC
• Carmel Specialty Surgery Center LLC
• Carmel Surgical PC
• Carmel Surgical Specialists, PC

• Oral and Maxillofacial Surgery (Dentist) in Carmel, IN
• Providers in Carmel, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.