Altoona Center for Oral and Maxillofacial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DS031238R Issued in PA

Legal business name

ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC

Practice address

901 Valley View Blvd
Altoona, PA 16602-6363

Phone

(814) 946-5060

Fax

(814) 946-4898

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Sawicki Lampard, D.D.S.NPI 1588608228

Title

Oral and Maxillofacial Surgeon

Phone

(814) 946-5060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Carolyn Sawicki Lampard, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Altouna, PA
  • NPI 1588608228

  PA

  Medicare reassignment NPD Authorized official
• Adam Clayton Goddard, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Altoona, PA
  • NPI 1598083305

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1285882597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026363",
            "telephone_number": "814-946-5060",
            "fax_number": "814-946-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VALLEY VIEW BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166026363",
            "telephone_number": "814-946-5060",
            "fax_number": "814-946-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "LAMPARD",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SAWICKI",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "814-946-5060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS031238R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018753130005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Altoona Dermatology Associates Inc
• Altoona Dermatology Associates LLC
• Altoona Endocrine Services, L.L.C

• All providers in Altoona, PA
• Oral and Maxillofacial Surgery Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.