NPIMap

Organization Active NPI

Carolinas Dentist Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Spring Lake, NC
National Provider Identifier
1043669583
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9700 Issued in NC
Legal business name
CAROLINAS DENTIST ORAL SURGERY
Practice address
620 Lillington Hwy
Spring Lake, NC 28390-2269
Phone
(330) 951-9153
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Miss Scott Crews
Title
Coo
Phone
(330) 951-9153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 9700 NC Primary

Addresses

Primary practice location

620 Lillington Hwy
Spring Lake, NC 28390-2269

Mailing address

2301 Robeson St
Suite 302
Fayetteville, NC 28305-5640
Phone (330) 951-9153

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1043669583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST",
            "address_2": "SUITE 302",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055640",
            "telephone_number": "330-951-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LILLINGTON HWY",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902269",
            "telephone_number": "330-951-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS DENTIST ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-951-9153",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.