Columbia Oral and Maxillofacial Services, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

COLUMBIA ORAL AND MAXILLOFACIAL SERVICES, LLC

Practice address

1000 W Nifong Blvd
BLDG 4 Suite 100
Columbia, MO 65201

Phone

(573) 443-0466

Fax

(573) 442-5417

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Eva Trabue

Title

Office Manager

Phone

(573) 443-0466

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• James Adam Andrews, MD DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Columbia, MO
  • NPI 1538272976

  Oral and Maxillofacial Surgery

  NPD (past)
• James W Andrews, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Columbia, MO
  • NPI 1003929449
  NPD (past)
• Jared Louis Atwood, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbia, MO
  • NPI 1891006557

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1447736715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W NIFONG BLVD",
            "address_2": "BLDG 4 SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-443-0466",
            "fax_number": "573-442-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W NIFONG BLVD",
            "address_2": "BLDG 4 SUITE 100",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65201",
            "telephone_number": "573-443-0466",
            "fax_number": "573-442-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA ORAL AND MAXILLOFACIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "TRABUE",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-443-0466"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR ANDREWS",
            "identifier": "1538272976",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR ATWOOD",
            "identifier": "1891006557",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Manor, Inc.
• Columbia Medical Supplies
• Columbia Musculoskeletal Surgery CNTR LLC
• Columbia Nephrology & Internal Medicine, PC
• Columbia Oral & Maxillofacial Surgery LLC
• Columbia Orthopaedic Group
• Columbia Orthopaedic Group Pharmacy LLC
• Columbia Orthopaedic Group, LLP
• Columbia Orthopaedic Group, LLP
• Columbia Podiatry, L.L.C.

• Oral and Maxillofacial Surgery (Dentist) in Columbia, MO
• Providers in Columbia, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.