Individual provider Active NPI

Steven F Kolb, D.D.S., M.S.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sherman, TX
National Provider Identifier
1295776011
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
13358 Issued in TX
Practice address
2903 N FM 1417
Sherman, TX 75092-3424
Phone
(903) 868-1370
Fax
(903) 893-6028
NPI assigned
Jun 10, 2006
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 13358 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 13358 TX
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 13358 TX Primary

Addresses

Primary practice location

2903 N FM 1417
Sherman, TX 75092-3424

Mailing address

2903 N FM 1417
Sherman, TX 75092-3424
Phone (903) 868-1370

Other identifiers 3

IdentifierTypeStateIssuer
190009680OtherRR MDCR
84D156OtherBCBS
110904303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000243 TX Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 9335160613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
University of Texas Medical School at San Antonio, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osct, PLLCGroup PAC ID 9537180815, 4 clinicians

Practice addresses (Care Compare)

2903 N FM
Suite 1417
Sherman, TX 75092-3424
Phone (903) 868-1370

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13358TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Osct, PLLC Oral and Maxillofacial Surgery CurrentSince May 9, 1983 Accepting new patients

Locations

2903 N FM 1417
Sherman, TX 75092
Phone (903) 868-1370

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1295776011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 N FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923424",
            "telephone_number": "903-868-1370",
            "fax_number": "903-893-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 N FM 1417",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750923424",
            "telephone_number": "903-868-1370",
            "fax_number": "903-893-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLB",
        "first_name": "STEVEN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "13358",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "13358",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "13358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR",
            "identifier": "190009680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84D156",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110904303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

Verify at the official NPI Registry.