Individual provider Active NPI

Owen Meyer Forbes, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, IN
National Provider Identifier
1316003254
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12009994 Issued in IN
Practice address
2350 Northpark
Columbus, IN 47203-4466
Phone
(812) 372-7312
Fax
(812) 378-9451
NPI assigned
Dec 28, 2006
Last updated
Apr 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12009994 IN Primary

Addresses

Primary practice location

2350 Northpark
Columbus, IN 47203-4466

Mailing address

2350 Northpark
Columbus, IN 47203-4466
Phone (812) 372-7312

Other identifiers 1

IdentifierTypeStateIssuer
000000192308OtherINBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000194 IN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840486320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009994INMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Columbus Oral & Maxillofacial Surgery PSC Oral and Maxillofacial Surgery PastSince Jul 9, 2001 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: oforbes11584@edirect.crh.org

Organizations & group practices 2

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1316003254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NORTHPARK",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034466",
            "telephone_number": "812-372-7312",
            "fax_number": "812-378-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 NORTHPARK",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034466",
            "telephone_number": "812-372-7312",
            "fax_number": "812-378-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "OWEN",
        "middle_name": "MEYER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12009994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000192308",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.