NPIMap

Organization Active NPI

DRS Pearson Jefferson and Camp PA

Doing business as Raleigh Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Raleigh, NC
National Provider Identifier
1730299835
Registry record updated Jul 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DRS PEARSON JEFFERSON AND CAMP PA
Doing business as
Raleigh Oral Surgery
Practice address
8301 Bandford Way
Suite 121
Raleigh, NC 27615-2767
Phone
(919) 876-4746
Fax
(919) 876-5071
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2007

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

Authorized official

Name
Dr. Jay A Jefferson, DDSNPI 1063471431
Title
Treasurer
Phone
(919) 876-4746

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

8301 Bandford Way
Suite 121
Raleigh, NC 27615-2767

Mailing address

8301 Bandford Way
Suite 121
Raleigh, NC 27615-2767
Phone (919) 876-4746

Other names 1

  • Raleigh Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

8301 Bandford Way
Raleigh, NC 27615
Phone (919) 876-4746

3900 Wake Forest Rd
Ste 101
Raleigh, NC 27609
Phone (919) 876-4746

Practitioners & affiliated clinicians

Practitioners 6

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184457600000",
    "number": "1730299835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152767",
            "telephone_number": "919-876-4746",
            "fax_number": "919-876-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 BANDFORD WAY",
            "address_2": "SUITE 121",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152767",
            "telephone_number": "919-876-4746",
            "fax_number": "919-876-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS PEARSON JEFFERSON AND CAMP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "919-876-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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": [
        {
            "organization_name": "Raleigh Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.