NPIMap

Organization Active NPI

Oral Surgery Plus, LLC

  • Dental Anesthesiology
  • Taunton, MA
National Provider Identifier
1124357520
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
21915 Issued in MA
Legal business name
ORAL SURGERY PLUS, LLC
Practice address
104 Dean St Ste 103
Taunton, MA 02780-5403
Phone
(508) 692-9548
Fax
(508) 692-9549
NPI assigned
Dec 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Patrick D McCarty, D.D.S.
Title
Owner
Phone
(508) 692-9548

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20685 MA
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X 1855924 MA
Dental AnesthesiologyGroup: 193200000X MULTI-SPECIALTY GROUP 1223D0004X 21915 MA Primary

Addresses

Primary practice location

104 Dean St Ste 103
Taunton, MA 02780-5403

Mailing address

104 Dean St Ste 103
Taunton, MA 02780-5403
Phone (508) 692-9548

Other identifiers 1

IdentifierTypeStateIssuer
9903654MedicaidMA

National Provider Directory

National Provider Directory

Locations

104 Dean St
Ste 103
Taunton, MA 02780
Phone (508) 692-9548

Practitioners & affiliated clinicians

Practitioners 6

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": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1124357520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DEAN ST STE 103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548",
            "fax_number": "508-692-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DEAN ST STE 103",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027805403",
            "telephone_number": "508-692-9548",
            "fax_number": "508-692-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY PLUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-692-9548",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "20685",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MA",
            "license": "1855924",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "MA",
            "license": "21915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9903654",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.