Adam R Blumer, DMD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8500 Issued in SC

Legal business name

ADAM R BLUMER, DMD PC

Doing business as

Carolina Center for Oral and Maxillofacial Surgery

Practice address

115 Powell Mill Rd
Spartanburg, SC 29301-1531

Phone

(864) 574-2011

Fax

(864) 576-7377

NPI assigned

Jul 2, 2015

Last updated

Aug 31, 2015By 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

Adam R Blumer III, DMDNPI 1619267267

Title

President

Phone

(864) 574-2011

Specialties & licenses 1

Addresses

Other names 1

• Carolina Center for Oral and Maxillofacial Surgery Doing business as

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.

• Adam Rivers Blumer III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Spartanburg, SC
  • NPI 1619267267
  Authorized official Same address or phone

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1093198400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-2011",
            "fax_number": "864-576-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-2011",
            "fax_number": "864-576-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAM R BLUMER, DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "BLUMER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-574-2011",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Center for Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Cathleen Achee, DO
• Lily Ackerman, RD
• Active Mobility Upstate LLC (Carolina Orthotics and Prosthetics LLC)
• Ashlon Brewington Adair
• Tracy Noel Adair, LISW-CP
• Frederick F Adams III, MD
• Joia Adams
• Samuel Carl Adams, MD
• Tara Craig Adams, MCD, CCC-SLP
• Samuel Gboyega Adediran, M.D.,

• Oral and Maxillofacial Surgery (Dentist) in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.