Greenwich Oral and Maxillofacial Surgery Associates, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6237 Issued in CT

Legal business name

GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.

Practice address

23 Maple Ave
Greenwich, CT 06830-5620

Phone

(203) 661-5858

Fax

(203) 661-1159

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven M Brody, DDS

Title

President

Phone

(203) 661-5858

Specialties & licenses 6

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Charles King Levin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Purchase, NY
  • NPI 1043775083
  NPD (past)
• Lindsay Nicole Rutherford, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Purchase, NY
  • NPI 1841794369
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073633426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAPLE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305620",
            "telephone_number": "203-661-5858",
            "fax_number": "203-661-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAPLE AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305620",
            "telephone_number": "203-661-5858",
            "fax_number": "203-661-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-661-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049719-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "009552",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "7023",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "040760",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "6237",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "033181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518057389",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1255421012",
            "identifier": "NPI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649298944",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenwich Neonatology Associates, LLC
• Greenwich Neurology
• Greenwich Neurosurgery, P.C.
• Greenwich Occupational Health Services, P.C.
• Greenwich Ophthalmology Assoc
• Greenwich Otolaryngology, PC
• Greenwich Pain and Spine
• Greenwich Pathology Associates, LLC
• Greenwich Pediatric Services PC
• Greenwich Pharmacy LLC

• Oral and Maxillofacial Surgery (Dentist) in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.