Coyle & Johnson, Oral & Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COYLE & JOHNSON, ORAL & MAXILLOFACIAL SURGERY, LLC

Practice address

3015 S Providence Rd
Columbia, MO 65203-3670

Phone

(573) 449-4900

Fax

(573) 875-6142

NPI assigned

Feb 25, 2009

Organization subpart

No

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

Authorized official

Name

John Anthony Johnson, DDSNPI 1063480622

Title

Owner

Phone

(573) 449-4900

Specialties & licenses 1

Addresses

Practitioners 3

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

• John Anthony Johnson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1063480622
  NPD (past) Authorized official
• Timothy Thomas Coyle, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1952376964
  NPD (past)
• John Charles Lance, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1851433981
  NPD (past)

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1285874677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 S PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033670",
            "telephone_number": "573-449-4900",
            "fax_number": "573-875-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 S PROVIDENCE RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033670",
            "telephone_number": "573-449-4900",
            "fax_number": "573-875-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COYLE & JOHNSON, ORAL & MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-449-4900",
        "authorized_official_credential": "DDS"
    },
    "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": []
}

• Katelyn Cox, MD
• Leigh Cox
• Matthew Lynn Cox, MED, LPC
• Savannah Noel Cox, RBT
• Coxhealth Home Care Services of the Midwest Inc
• Robert Dale Coyle, DDS
• Timothy Thomas Coyle, MD DDS
• Kelsey P Cozby, PA-C
• Deonna M Crabtree, MA, LPC
• Jordan L Craft, MS, LPC

• Oral and Maxillofacial Surgery (Dentist) in Columbia, MO
• Providers in Columbia, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.