Active NPI
Steven F Kolb, D.D.S., M.S.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Sherman, TX
National Provider Identifier
1295776011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 13358
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190009680 | Other | RR MDCR | |
| 84D156 | Other | BCBS | |
| 110904303 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- University of Texas Medical School at San Antonio, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13358 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osct, PLLC | Oral and Maxillofacial Surgery | Current | 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.
-
dba Oral Surgery Center of Texoma
- Oral & Maxillofacial Surgery (D.M.D.)
- Sherman, TX
- NPI 1285817379
Oral and Maxillofacial Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.