Associates in Oral and Maxillofacial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.

Practice address

1990 Premiere Dr
Mankato, MN 56001-5900

Phone

(507) 625-9330

Fax

(507) 625-1440

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Jo Urban, R.D.A.

Title

Practice Manager

Phone

(507) 625-9330

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Associates in Oral and Maxillofacial Surgery PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Associates in Oral and Maxillofacial Surgery, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, MN
  • NPI 1275859159
  NPD tax ID
• Associates in Oral and Maxillofacial Surgery, P.a.

  • Dentist
  • Rochester, MN
  • NPI 1285888024
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Casper, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mankato, MN
  • NPI 1083077259
  Medicare reassignment Care Compare group NPD
• David Montgomery Curtis, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MN
  • NPI 1265402531
  Medicare reassignment Care Compare group NPD
• Richard Kevin Marlow, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mankato, MN
  • NPI 1306908702
  Medicare reassignment Care Compare group NPD
• Eugene E Keller, D.D.S.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rochester, MN
  • NPI 1437135498
  Medicare reassignment NPD
• Phillip Dana Vickers, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rochester, MN
  • NPI 1720149529
  Medicare reassignment NPD
• Richard Hyungsang Kim, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mankato, MN
  • NPI 1003977653
  NPD (past)
• Nathan G Adams, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Salt Lake City, UT
  • NPI 1174604128
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578596177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 PREMIERE DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015900",
            "telephone_number": "507-625-9330",
            "fax_number": "507-625-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 PREMIERE DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560015900",
            "telephone_number": "507-625-9330",
            "fax_number": "507-625-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "507-625-9330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D.A."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "06D38MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Arfan, MD
• Cassandra Dawn Armstrong
• Aseven Homecare LLC
• Sylvia Elaine Ashley-Cameron, PHD
• Associated Psychological Services
• Stephanie Marie Atchley-Shappell, LPN
• Rhea Atherton, PT
• Dennis L Athey, HID
• Jessica Marie Auel, MS, LMFT
• Aurora Chiropractic, LLC

• Oral and Maxillofacial Surgery (Dentist) in Mankato, MN
• Providers in Mankato, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• 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.
• 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.