NPIMap

Organization Active NPI

Oral Surgery Associates Southcoast, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • New Bedford, MA
National Provider Identifier
1043255383
Registry record updated Mar 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
15595 Issued in MA
Legal business name
ORAL SURGERY ASSOCIATES SOUTHCOAST, INC.
Practice address
81 Hawthorn St
New Bedford, MA 02740-3429
Phone
(508) 992-3737
Fax
(508) 993-3798
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2009

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

Authorized official

Name
Mr. Patrick J Farren, D.M.D.
Title
President
Phone
(508) 992-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 15595 MA Primary

Addresses

Primary practice location

81 Hawthorn St
New Bedford, MA 02740-3429

Mailing address

81 Hawthorn St
New Bedford, MA 02740-3429
Phone (508) 992-3737

Other names 1

  • Oral surgery associates gnb inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090521000106 MA Part B Supplier - Clinic/Group Practice 9436208477 Receives reassigned benefits from 3 practitioners
Practice locations: New Bedford, MA

National Provider Directory

National Provider Directory

Locations

81 Hawthorn St
New Bedford, MA 02740
Phone (508) 992-3737

Practitioners & affiliated clinicians

Practitioners 3

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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1043255383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 HAWTHORN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403429",
            "telephone_number": "508-992-3737",
            "fax_number": "508-993-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HAWTHORN ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027403429",
            "telephone_number": "508-992-3737",
            "fax_number": "508-993-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES SOUTHCOAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "FARREN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-992-3737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "15595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral surgery associates gnb inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Bedford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.