Center for Oral & Maxillofacial Surgery SC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CENTER FOR ORAL & MAXILLOFACIAL SURGERY SC

Practice address

7007 Old Sauk Rd
Madison, WI 53713

Phone

(608) 833-2060

Fax

(608) 833-1737

NPI assigned

Jul 26, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary W. Sweeney, DDSNPI 1811921950

Title

S Corp President

Phone

(608) 833-2060

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• TJ Dyer, DDS

  • Dentist
  • Madison, WI
  • NPI 1376809129
  Medicare reassignment Care Compare group NPD
• Andrew J Kramer, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Madison, WI
  • NPI 1144259581
  Medicare reassignment Care Compare group NPD
• Gabrielle Neilson Moen, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1750841912
  Medicare reassignment Care Compare group NPD
• Kim J Pansegrau, DDS MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1518990167
  Medicare reassignment Care Compare group NPD
• Scott Roberts Goldberg, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Melrose, MA
  • NPI 1457693772

  WI

  Medicare reassignment Care Compare group NPD
• Rhys Patrick Strasia, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Amarillo, TX
  • NPI 1629240296

  WI

  Medicare reassignment Care Compare group NPD
• Geoffrey R Warda, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1588699664
  Medicare reassignment NPD
• Gary W Sweeney, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1811921950
  NPD (past) Authorized official
• Benjamin Kim

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, WI
  • NPI 1366946089
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710900808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S PARK ST #506",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53715",
            "telephone_number": "608-256-1961",
            "fax_number": "608-256-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 OLD SAUK RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "53713",
            "telephone_number": "608-833-2060",
            "fax_number": "608-833-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL & MAXILLOFACIAL SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "S CORP PRESIDENT",
        "authorized_official_telephone_number": "608-833-2060",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38390400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Ceelen, MGC, CGC
• Aylin Celik Zencir
• Pelin Cengiz, MD
• Center for Community Healing LLC (The Center for Community Healing)
• Center for Families, Inc.
• Center Stage Therapy
• Center Valley Counseling Inc
• Barbara H Center, MD
• Centerpoint Somatic Therapy and Wellness, LLC
• Central Wisconsin Express Transit LLC

• Oral and Maxillofacial Surgery (Dentist) in Madison, WI
• Providers in Madison, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.