Individual provider Active NPI

Matthew Charles Nimmich, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • West Columbia, SC
National Provider Identifier
1598103277
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2018 Issued in SC
Practice address
112 Saluda Ridge CT Ste 400
West Columbia, SC 29169-3461
Phone
(980) 243-3306
NPI assigned
Jun 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 2018 SC Primary

Addresses

Primary practice location

112 Saluda Ridge CT Ste 400
West Columbia, SC 29169-3461

Mailing address

112 Saluda Ridge CT Ste 400
West Columbia, SC 29169-3461
Phone (980) 243-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 20, 2021 through Jul 20, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osa-Oms, LLC Oral and Maxillofacial Surgery CurrentSince May 18, 2025 Accepting new patients
Oral Surgery Associates, PC Oral and Maxillofacial Surgery PastSince May 18, 2025 Accepting new patients
Northeast Oral & Maxillofacial Surgery Center PastSince Feb 1, 2020 Accepting new patients

Locations

910 Goodyear Ave
Gadsden, AL 35903
Phone (256) 492-6363

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1598103277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 400",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "980-243-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SALUDA RIDGE CT STE 400",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693461",
            "telephone_number": "980-243-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMMICH",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-04",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.