Oral Maxillofacial Surgery of the Southern Tier, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC

Practice address

451 W Church St
Elmira, NY 14901-2636

Phone

(607) 733-3760

Fax

(607) 734-6000

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew B Brown, MD DDSNPI 1851381867

Title

Surgeon Secretary Treasurer

Phone

(607) 733-3760

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew B Brown, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmira, NY
  • NPI 1851381867
  Medicare reassignment Care Compare group NPD Authorized official
• Harinderpal Singh Chahal, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Albany, NY
  • NPI 1487742094
  Medicare reassignment Care Compare group NPD
• John T Bowman, DMD,MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmira, NY
  • NPI 1982672861
  Medicare reassignment Care Compare group
• Daniel H Farr, M.D., D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Elmira, NY
  • NPI 1780674796
  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1205999380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012636",
            "telephone_number": "607-733-3760",
            "fax_number": "607-734-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012636",
            "telephone_number": "607-733-3760",
            "fax_number": "607-734-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL MAXILLOFACIAL SURGERY OF THE SOUTHERN TIER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SURGEON SECRETARY TREASURER",
        "authorized_official_telephone_number": "607-733-3760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI WILLIAM F. POCHAL",
            "identifier": "1942299094",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MATTHEW B. BROWN",
            "identifier": "1851381867",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DANIEL H. FARR",
            "identifier": "1780674796",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doncollins Okolo, MD
• Gayle Lynne Oldenbusch, MSPT
• Anthony F Oliva, DO
• Anjolaoluwa A Oluyede, MD
• Emily A Oparil, LPN
• Carlos Ortega Ceballo
• Orthodontic Associates of the Southern Tier P.C.
• Orthopedic and Sports Therapy Associates, LLP
• Kaitlin Osburn, SLP
• Sarah Jessica Osburn

• Oral and Maxillofacial Surgery (Dentist) in Elmira, NY
• Providers in Elmira, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.

Verify at the official NPI Registry.