NPIMap

Organization Active NPI

Columbus Oral & Maxillofacial Surgery PSC

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, IN
National Provider Identifier
1629134515
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
54000102A Issued in IN
Legal business name
COLUMBUS ORAL & MAXILLOFACIAL SURGERY PSC
Practice address
2350 Northpark
Columbus, IN 47203-4466
Phone
(812) 372-7312
Fax
(812) 378-9451
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Barbara Kaiser
Title
Office Manager
Phone
(812) 372-7312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 54000102A IN Primary

Addresses

Primary practice location

2350 Northpark
Columbus, IN 47203-4466

Mailing address

2350 Northpark
Columbus, IN 47203-4466
Phone (812) 372-7312

National Provider Directory

National Provider Directory

Locations

2350 Northpark Dr
Columbus, IN 47203
Phone (812) 372-7312

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1629134515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 NORTHPARK",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034466",
            "telephone_number": "812-372-7312",
            "fax_number": "812-378-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 NORTHPARK",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034466",
            "telephone_number": "812-372-7312",
            "fax_number": "812-378-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS ORAL & MAXILLOFACIAL SURGERY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-372-7312"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "54000102A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.