Organization Active NPI

Associates in Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Lexington, SC
National Provider Identifier
1205955168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA
Practice address
307 Columbia Ave
Lexington, SC 29072-2613
Phone
(803) 781-3321
Fax
(803) 781-4406
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James E. Mercer, DDSNPI 1417022914
Title
Pres
Phone
(803) 781-3321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

307 Columbia Ave
Lexington, SC 29072-2613

Mailing address

7033 Saint Andrews Rd
Suite 102
Columbia, SC 29212-1179
Phone (803) 781-3321

Other identifiers 1

IdentifierTypeStateIssuer
ZA9781MedicaidSC

National Provider Directory

National Provider Directory

Locations

7033 Saint Andrews Rd
Ste 102
Columbia, SC 29212
Phone (803) 781-3321

109 Reed Ave
Lexington, SC 29072
Phone (803) 957-6113

307 Columbia Ave
Lexington, SC 29072
Phone (803) 781-3321

110 E Medical Ln
Ste 110
West Columbia, SC 29169
Phone (803) 796-5791

112 Saluda Ridge Ct
Ste 400
West Columbia, SC 29169
Phone (803) 781-3321

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205955168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 SAINT ANDREWS RD",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121179",
            "telephone_number": "803-781-3321",
            "fax_number": "803-781-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722613",
            "telephone_number": "803-781-3321",
            "fax_number": "803-781-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN ORAL & MAXILLOFACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "803-781-3321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9781",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.