Adam Rivers Blumer III, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8500 Issued in SC

Practice address

115 Powell Mill Rd
Spartanburg, SC 29301-1531

Phone

(864) 574-2011

NPI assigned

Apr 17, 2011

Last updated

Sep 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 27, 2023 through Apr 27, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Adam R Blumer, DMD PC

  dba Carolina Center for Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Spartanburg, SC
  • NPI 1093198400
  Authorized official Same address or phone
• DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

  dba Carolinas Center For Oral And Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rock Hill, SC
  • NPI 1861913022
  NPD (past)

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

{
    "created_epoch": "1302998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1619267267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 POWELL MILL RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011531",
            "telephone_number": "864-574-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "ADAM",
        "middle_name": "RIVERS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-17",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "SC",
            "license": "8500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Denise Blanton, LPC
• Laura Elizabeth Blasko, MD
• George Ambrose Blestel Jr., MD
• Blue Water Counseling, LLC
• Sarah Murphy Blue, NP
• BMS Rehabilitation Inc
• Bnflow LLC
• Luke Boalt
• Elizabeth Patton Boaze, LMSW
• Bobbie Dameron

• Oral and Maxillofacial Surgery (Dentist) in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Oral and Maxillofacial Surgery (Dentist) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.