Active NPI
Associates in Oral and Maxillofacial Surgery, P.a.
- Dentist
- Rochester, MN
National Provider Identifier
1285888024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.
- Practice address
- 2717 Superior Dr NW
Suite B
Rochester, MN 55901-3035 - Phone
- (507) 281-5820
- NPI assigned
- Nov 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard Kevin Marlow, D.M.D.
- Title
- President
- Phone
- (507) 625-9330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MN | Primary |
Addresses
Primary practice location
2717 Superior Dr NW
Suite B
Rochester, MN 55901-3035
Mailing address
2717 Superior Dr NW
Suite B
Rochester, MN 55901-3035
Phone (507) 281-5820
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06D38MA | Other | MN | BLUE CROSS BLUE SHIELD |
| 857932600 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Associates in Oral and Maxillofacial Surgery PA
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oral and Maxillofacial Surgery (Dentist)
- Rochester, MN
- NPI 1275859159
-
- Oral and Maxillofacial Surgery (Dentist)
- Mankato, MN
- NPI 1578596177
Locations
2717 Superior Dr NW
Ste B
Rochester, MN 55901
Phone (507) 281-5820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1225929600000",
"number": "1285888024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 SUPERIOR DR NW",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013035",
"telephone_number": "507-281-5820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2717 SUPERIOR DR NW",
"address_2": "SUITE B",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559013035",
"telephone_number": "507-281-5820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-06",
"last_updated": "2008-11-06",
"status": "A",
"authorized_official_last_name": "MARLOW",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-625-9330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "06D38MA",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "857932600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.