Organization Active NPI

New Albany Jaw and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • New Albany, OH
National Provider Identifier
1013266295
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
20162 Issued in OH
Legal business name
NEW ALBANY JAW AND FACIAL SURGERY
Practice address
5101 Forest Dr
Suite B
New Albany, OH 43054-8215
Phone
(614) 751-7500
Fax
(614) 322-7900
NPI assigned
Sep 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Authorized official

Name
Amy R Collins
Title
Billing Office Coordinator
Phone
(614) 751-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 20162 OH Primary

Addresses

Primary practice location

5101 Forest Dr
Suite B
New Albany, OH 43054-8215

Mailing address

1575 Cross Creeks Blvd
Pickerington, OH 43147-8237
Phone (614) 751-7500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346716800000",
    "number": "1013266295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 CROSS CREEKS BLVD",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431478237",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 FOREST DR",
            "address_2": "SUITE B",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548215",
            "telephone_number": "614-751-7500",
            "fax_number": "614-322-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY JAW AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLING OFFICE COORDINATOR",
        "authorized_official_telephone_number": "614-751-7500"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "20162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.