NPIMap

Organization Active NPI

Carnes, Montgomery, Cook & Henry, Oral & Max Surg, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Worthington, OH
National Provider Identifier
1336166289
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CARNES, MONTGOMERY, COOK & HENRY, ORAL & MAX SURG, LLC
Doing business as
Northwest Oral & Facial Surgery
Practice address
6641 N High St
Suite 105
Worthington, OH 43085-4038
Phone
(614) 885-3339
Fax
(614) 885-1011
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mel T Grassette
Title
Insurance Coordinator
Phone
(614) 885-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

6641 N High St
Suite 105
Worthington, OH 43085-4038

Mailing address

6641 N High St
Suite 105
Worthington, OH 43085-4038
Phone (614) 885-3339

Other names 1

  • Northwest Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

6641 N High St
Ste 105
Worthington, OH 43085
Phone (614) 885-3339

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1336166289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6641 N HIGH ST",
            "address_2": "SUITE 105",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854038",
            "telephone_number": "614-885-3339",
            "fax_number": "614-885-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6641 N HIGH ST",
            "address_2": "SUITE 105",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854038",
            "telephone_number": "614-885-3339",
            "fax_number": "614-885-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARNES, MONTGOMERY, COOK & HENRY, ORAL & MAX SURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "GRASSETTE",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "614-885-3339"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.