NPIMap

Organization Active NPI

Coafs Lab

  • Oral and Maxillofacial Surgery (Dentist)
  • Charleston, SC
National Provider Identifier
1679954705
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
COAFS LAB
Practice address
125 Wappoo Creek Dr Ste C1
Charleston, SC 29412-2161
Phone
(843) 762-9028
Fax
(843) 762-9030
NPI assigned
Jun 15, 2015
Organization subpart
Yes
Parent organization
CHARLESTON ORAL AND FACIAL SURGERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Authorized official

Name
Dr. Edward Strauss, DMD MDNPI 1205873114
Title
Owner
Phone
(843) 762-9028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

125 Wappoo Creek Dr Ste C1
Charleston, SC 29412-2161

Mailing address

125 Wappoo Creek Dr # C
Charleston, SC 29412-2163
Phone (843) 762-9028

National Provider Directory

National Provider Directory
Part of
Charleston Center for Oral Facial Surgery

Locations

125 Wappoo Creek Dr
#C
Charleston, SC 29412

125 Wappoo Creek Dr
Ste C1
Charleston, SC 29412

Practitioners & affiliated clinicians

Practitioners 7

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": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1679954705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WAPPOO CREEK DR # C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122163",
            "telephone_number": "843-762-9028",
            "fax_number": "843-762-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WAPPOO CREEK DR STE C1",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122161",
            "telephone_number": "843-762-9028",
            "fax_number": "843-762-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAFS LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARLESTON ORAL AND FACIAL SURGERY",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-762-9028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.