Rowan Oral & Facial Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ROWAN ORAL & FACIAL SURGERY PC

Practice address

858 Brawley School Rd
Suite C
Mooresville, NC 28117-6852

Phone

(704) 799-3555

Fax

(704) 799-3095

NPI assigned

May 17, 2006

Organization subpart

No

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

Authorized official

Name

John A Johnson, D.M.D., M.D.

Title

President/Surgeon

Phone

(704) 799-3555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MOoresville Oral Surgery Doing business as

Practitioners 1

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

• Shenan Marie Bradshaw, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesterfield, MO
  • NPI 1699040121

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376595413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 BRAWLEY SCHOOL RD",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176852",
            "telephone_number": "704-799-3555",
            "fax_number": "704-799-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 BRAWLEY SCHOOL RD",
            "address_2": "SUITE C",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176852",
            "telephone_number": "704-799-3555",
            "fax_number": "704-799-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWAN ORAL & FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/SURGEON",
        "authorized_official_telephone_number": "704-799-3555",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136CU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOoresville Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith Ann Rosco, D.C.
• Rose Care Incorporated Dba Brightstar of Iredell/Rowan
• Taylor Christine Rose, MS, LPA, HSP-PA
• Julie Ross, QP
• Celeste Anne Rousseau, MD
• RTC Psychological Associates, PLLC
• Ruach Faith & Courage PLLC
• Claire Runde, DMD
• Betty Wright Russell, LCSW, LMFT, PH.D.
• RXN, LLC

• Specialist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.