Individual provider Active NPI

Adam David Serlo, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Chapel Hill, NC
National Provider Identifier
1780886556
Registry record updated Jul 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2007-01894 Issued in NC
Practice address
501 Eastowne Dr
Suite 110
Chapel Hill, NC 27514-6224
Phone
(919) 929-2196
Fax
(919) 490-8518
NPI assigned
Jun 4, 2007
Last updated
Jul 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7806 NC
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2007-01894 NC Primary

Addresses

Primary practice location

501 Eastowne Dr
Suite 110
Chapel Hill, NC 27514-6224

Mailing address

501 Eastowne Drive
Suite 110
Chapel Hill, NC 27514
Phone (919) 929-2196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080620000353 NC Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 2062583982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral and Maxillofacial Surgery Associates PAGroup PAC ID 6002855244, 4 clinicians

Practice addresses (Care Compare)

501 Eastowne Dr
Suite 110
Chapel Hill, NC 27514-6224
Phone (919) 929-2196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7806NCMDOral and Maxillofacial Surgery (Dentist)
2007-01894NCMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral & Maxillofacial Surgery Associates PA Oral and Maxillofacial Surgery CurrentSince Jul 1, 2008 Accepting new patients

Locations

501 Eastowne Dr
Ste 110
Chapel Hill, NC 27514
Phone (919) 929-2196

2823 N Duke St
Durham, NC 27704
Phone (919) 479-0707

Interoperability endpoints

  • Direct secure messaging: aserlo49328@direct.medicine.duke.edu

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215216000000",
    "number": "1780886556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DRIVE",
            "address_2": "SUITE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-929-2196",
            "fax_number": "919-490-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 EASTOWNE DR",
            "address_2": "SUITE 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275146224",
            "telephone_number": "919-929-2196",
            "fax_number": "919-490-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLO",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7806",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NC",
            "license": "2007-01894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.