Oral Surgery Center, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY CENTER, P.C.

Practice address

2071 33Rd Ave
Suite B
Columbus, NE 68601-3178

Phone

(402) 562-5557

Fax

(402) 562-5553

NPI assigned

Oct 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jon Daniel Stineman, D.D.S., M.D.NPI 1316904451

Title

Owner/President

Phone

(402) 644-4452

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jon Daniel Stineman, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Norfolk, NE
  • NPI 1316904451
  NPD (past) Authorized official

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1598041352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKERIDGE DR",
            "address_2": "SUITE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687012558",
            "telephone_number": "402-644-4452",
            "fax_number": "402-644-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 33RD AVE",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013178",
            "telephone_number": "402-562-5557",
            "fax_number": "402-562-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "STINEMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-644-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025886100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Olmer, RD
• Debra Ellen Olson, MS CCC-SLP
• Elissa E Olson, LIMHP,LMHP,LADC,CPC
• Open Gate Therapy, LLC
• Optometric Center of Columbus, P.C.
• Jacob Oran, M.D.
• Homero Orozco Hernandez
• Darlyn Ortez Reyes
• Ana Bella Ortiz, PROVISIONAL LADC
• Christina Osantowski

• Oral and Maxillofacial Surgery (Dentist) in Columbus, NE
• Providers in Columbus, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.