Carolina Surgical Arts PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

34801 Issued in NC

Legal business name

CAROLINA SURGICAL ARTS PA

Practice address

2516 Oakcrest Ave
Suite B
Greensboro, NC 27408-1932

Phone

(336) 288-0677

Fax

(336) 288-0784

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Todd Gene Owsley, MDNPI 1699899823

Title

President

Phone

(336) 288-0677

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 4

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

• Todd Gene Owsley, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Greensboro, NC
  • NPI 1699899823
  Medicare reassignment Care Compare group NPD Authorized official
• Nima Missaghian

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1306307897

  NC

  Medicare reassignment Care Compare group NPD
• Christopher Shane McDaniel, M.D.

  • Surgery Physician
  • Greensboro, NC
  • NPI 1558701086

  Oral & Maxillofacial Surgery

  NPD
• Tinerfe J Tejera, M.D., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Myers, FL
  • NPI 1912966201
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1508997883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 OAKCREST AVE",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081932",
            "telephone_number": "336-288-0677",
            "fax_number": "336-288-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 OAKCREST AVE",
            "address_2": "SUITE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274081932",
            "telephone_number": "336-288-0677",
            "fax_number": "336-288-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SURGICAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "OWSLEY",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-288-0677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "34801",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "34801",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0180T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAID DENTAL",
            "identifier": "59-13002",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0180T",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Regional Home Care,LLC
• Carolina Residential Care, Inc.
• Carolina Restorative Health, PLLC
• Carolina Sports, Spine & Wellness Center, PLLC
• Carolina Street Operating Company, LLC
• Carolina Vein Specialists, P.a.
• Carolina Visions Family Care LLC
• Carolinas Fertility Institute
• Carolyns Choice
• Amelia Mathis Carothers

• Oral and Maxillofacial Surgery (Dentist) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.