Carolina Oms Associates, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8366 Issued in NC

Legal business name

CAROLINA OMS ASSOCIATES, LLC

Doing business as

Surfside Implant & Oral Surgery Center

Practice address

1003 Olde Waterford Way Ste 1a
Leland, NC 28451-4168

Phone

(910) 793-9545

Fax

(910) 397-0366

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By 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

Kristin E Hudson

Title

Consultant

Phone

(910) 793-9545

Specialties & licenses 2

Addresses

Other names 1

• SURFSIDE IMPLANT & ORAL SURGERY CENTER Doing business as

Locations

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.

• Phillip S McIver, DDS

  • Dentist
  • Fairmont, NC
  • NPI 1881757011
  NPD (past)

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1104134899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15349",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085349",
            "telephone_number": "910-793-9545",
            "fax_number": "910-397-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 OLDE WATERFORD WAY STE 1A",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284514168",
            "telephone_number": "910-793-9545",
            "fax_number": "910-397-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OMS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "910-793-9545"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8366",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURFSIDE IMPLANT & ORAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Healthcare Associates Inc (Glen Meade Center for Women's Health)
• Carolina Healthcare Associates Inc (Atlantic Urology)
• Carolina Healthcare Associates, Inc. (Urology Comprehensive Services)
• Carolina Healthcare Associates, Inc. (Robert T. Bennett, MD)
• Carolina Healthcare Associates, Inc. (Morgan Internal Medicine)
• Carolina Premier Transport, & Co, LLC
• Carolina Premier Transportation & Co.
• Carolinas Coastal Health, PC
• Mackenzie Gromlovits Carrier, FNP-C
• Gabriella Maria Carrizo

• Oral and Maxillofacial Surgery (Dentist) in Leland, NC
• Providers in Leland, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.