Ciampa Oral Surgery, P.S.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5552 Issued in KY

Legal business name

CIAMPA ORAL SURGERY, P.S.C.

Practice address

200 Medical Center Dr
Paducah, KY 42003-7911

Phone

(270) 442-4374

Fax

(270) 442-1878

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter R. Ciampa, D.M.D.NPI 1346379948

Title

President

Phone

(270) 442-4374

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Peter R Ciampa, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Paducah, KY
  • NPI 1346379948
  Medicare reassignment NPD Authorized official
• Bret A Avra, D,M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Paducah, KY
  • NPI 1144230079
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1265561872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037911",
            "telephone_number": "270-442-4374",
            "fax_number": "270-442-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037911",
            "telephone_number": "270-442-4374",
            "fax_number": "270-442-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIAMPA ORAL SURGERY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "CIAMPA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-442-4374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5552",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "5552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65934044",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INS",
            "identifier": "542505",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61900361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Choices Unlimited HCB
• Sara Case Christiansen, RD, LD, NSCA-CPT
• Shannon C Christman
• Winston Chua, MD
• Ray Chumbler
• Peter R Ciampa, D.M.D.
• Ciaras Caring LLC
• Circle of Light Consulting, LLC
• Clark Elementary School Clinic
• Allison Clark

• Oral and Maxillofacial Surgery (Dentist) in Paducah, KY
• Providers in Paducah, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.