Active NPI
Rome Family & Cosmetic Dentistry
- General Practice Dentistry
- Rome, GA
National Provider Identifier
1104937192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11880
- 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
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., PC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00910511-A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Rome, GA
- NPI 1063523033
-
- Dentist
- Rome, GA
- NPI 1497866479
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.