Active NPI
Rice Oral Maxillofacial Surgery PC
- Oral and Maxillofacial Surgery (Dentist)
- Glenshaw, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- RICE ORAL MAXILLOFACIAL SURGERY PC
- Practice address
- 1416 Mount Royal Blvd
Glenshaw, PA 15116-2206 - Phone
- (412) 779-0620
- NPI assigned
- Jun 8, 2020
- 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. Jeremy Grant Rice, DO, DMD
- Title
- President
- Phone
- (412) 223-5880
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Mailing address
1416 Mount Royal Blvd
Glenshaw, PA 15116-2206
Phone (412) 223-5880
Other practice location 1
35 S 2nd Ave
Clarion, PA 16214-1934
Phone (814) 226-8690
Other practice location 2
90 Beaver Dr
Du Bois, PA 15801-2440
Phone (814) 375-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1501 Mount Royal Blvd
Glenshaw, PA 15116
Phone (412) 486-3076
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Glenshaw, PA
- NPI 1750698387
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Du Bois, PA
- NPI 1588125454
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1194349928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1416 MOUNT ROYAL BLVD",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162206",
"telephone_number": "412-223-5880",
"fax_number": "214-223-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1416 MOUNT ROYAL BLVD",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151162206",
"telephone_number": "412-779-0620"
}
],
"practiceLocations": [
{
"address_1": "35 S 2nd Ave",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "PA",
"postal_code": "162141934",
"country_code": "US",
"telephone_number": "814-226-8690",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Beaver Dr",
"address_purpose": "LOCATION",
"city": "Du Bois",
"state": "PA",
"postal_code": "158012440",
"country_code": "US",
"telephone_number": "814-375-0500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RICE ORAL MAXILLOFACIAL SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-08",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "GRANT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "412-223-5880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO, DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.