Active NPI
Matthew Charles Nimmich, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- West Columbia, SC
National Provider Identifier
1598103277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 2018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osa-Oms, LLC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Oral Surgery Associates, PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Northeast Oral & Maxillofacial Surgery Center | Past | 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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Gadsden, AL
- NPI 1487427969
-
- Oral and Maxillofacial Pathology Dentistry
- Columbia, SC
- NPI 1700916822
-
- Oral and Maxillofacial Surgery (Dentist)
- Gadsden, AL
- NPI 1902931819
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.