Middleburg Oral Surgery

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

3912 Issued in SC

Legal business name

MIDDLEBURG ORAL SURGERY

Practice address

2724 Middleburg Dr
Suite a
Columbia, SC 29204-2437

Phone

(803) 251-1245

NPI assigned

Nov 3, 2015

Organization subpart

Yes

Parent organization

MIDDLEBURG ORAL SURGERYAs reported in NPPES

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

Authorized official

Name

Ms. Vicki M Stewart, DDS

Title

Office Manager

Phone

(803) 251-1245

Specialties & licenses 1

Addresses

Other names 1

• Dr Steven Taylor,DDS Other name

Part of

Middleburg Oral Surgery

Locations

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1366815136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG ORAL SURGERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLEBURG ORAL SURGERY",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "803-251-1245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "SC",
            "license": "3912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Steven Taylor,DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jewel Mickens
• Latoya Denise Mickle, APRN
• Tykeyana Mickles, LPC
• Amelia Middlebrooks
• Middleburg Ambulatory Surgery Center LLC
• Middleton Counseling & Wellness
• Chaddrick L Middleton, LPC-I, CRC, CVE
• Edward Nathaniel Middleton, LPC
• Megan A Middleton, LPC
• Myia Dejaniera Middleton, RBT

• Rural Acute Care Hospital in Columbia, SC
• Providers in Columbia, SC by specialty
• Rural Acute Care Hospital in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.