DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell & K

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K

Doing business as

Carolinas Center for Oral & Facial Surgery

Practice address

104 Montgomery Dr
Anderson, SC 29621-3334

Phone

(704) 295-4653

NPI assigned

Feb 14, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & KAs reported in NPPES

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

Authorized official

Name

Jennifer Rayle Hock

Title

Director of Contracting & Credentia

Phone

(704) 295-4653

Specialties & licenses 2

Addresses

Other names 1

• Carolinas Center for Oral & Facial Surgery Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Ho6 organizations share this tax ID, including this one

Part of

DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Ho

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell & K

  dba Carolinas Center for TMJ Disorders & Facial Pain

  • Orofacial Pain Dentistry
  • Greenville, SC
  • NPI 1215875000
  NPD tax ID
• 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 tax ID
• DRS Farrell Farrell Nale Cook Kapitan Mohamed Franco Wessel Howell & K

  dba Atlantic Oral Implant & Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Charlotte, NC
  • NPI 1598586307
  NPD tax ID
• DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

  dba Carolinas Center For Oral And Facial Surgery

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1144740028
  NPD tax ID
• DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

  • Oral and Maxillofacial Surgery (Dentist)
  • Bermuda Run, NC
  • NPI 1679203913
  NPD tax ID

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1649977224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 77 CENTER DR STE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170739",
            "telephone_number": "704-295-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "704-295-4653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Rocky Slope Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073908",
            "country_code": "US",
            "telephone_number": "864-751-9972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS FARRELL FARRELL NALE COOK KAPITAN MOHAMED FRANCO WESSEL HOWELL & K",
        "enumeration_date": "2023-02-14",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAYLE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING & CREDENTIA",
        "authorized_official_telephone_number": "704-295-4653"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Center for Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Gay Drake, RN
• Erin Pruitt Drennon, FNP - BC
• Timothy Drew, PT
• Driven Physical Therapy LLC
• Ann R Drouse, LMFT
• Temeka Dubose, COTA
• Kayla Dudziak
• Christina Dufour, COTA
• Brandy Marie Duncan, DPT
• Jimmy A. Duncan

• Oral & Maxillofacial Surgery (D.M.D.) in Anderson, SC
• Providers in Anderson, SC by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.