Organization Active NPI

Rome Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Rome, GA
National Provider Identifier
1104937192
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11880 Issued in GA
Legal business name
ROME FAMILY & COSMETIC DENTISTRY
Practice address
19C John Maddox Dr NW
Rome, GA 30165-1413
Phone
(706) 235-1186
Fax
(706) 234-9007
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

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

Authorized official

Name
Dr. Jason B Oyler, D.M.D., PCNPI 1063523033
Title
Owner
Phone
(706) 235-1186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11880 GA Primary

Addresses

Primary practice location

19C John Maddox Dr NW
Rome, GA 30165-1413

Mailing address

19C John Maddox Dr NW
Rome, GA 30165-1413
Phone (706) 235-1186

Other identifiers 1

IdentifierTypeStateIssuer
00910511-AMedicaidGA

National Provider Directory

National Provider Directory

Locations

19 John Maddox Dr NW
Ste C
Rome, GA 30165
Phone (706) 235-1186

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1104937192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19C JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-235-1186",
            "fax_number": "706-234-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19C JOHN MADDOX DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651413",
            "telephone_number": "706-235-1186",
            "fax_number": "706-234-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME FAMILY & COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "OYLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-235-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., PC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00910511-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.