Cape Fear Oral and Maxillofacial Surgery

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8750 Issued in NC

Legal business name

CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY

Practice address

2409 Robeson St
Fayetteville, NC 28305-5549

Phone

(910) 483-9546

Fax

(910) 483-8550

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Jamie Leigh Douglas

Title

Insurance Coordinator

Phone

(910) 483-9546

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Cape Fear Oral and Maxillofacial Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Larry Tabatchnick, DMD, PLLC

  dba Cape Fear Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Fayetteville, NC
  • NPI 1558597971
  NPD tax ID

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1790111953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ROBESON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055549",
            "telephone_number": "910-483-9546",
            "fax_number": "910-483-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 ROBESON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055549",
            "telephone_number": "910-483-9546",
            "fax_number": "910-483-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE FEAR ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "910-483-9546",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Family Medical Care,PA
• Cape Fear Neonatology
• Cape Fear Neurology Associates PA
• Cape Fear Neurosurgery
• Cape Fear Optometric Clinic PA
• Cape Fear Orthopaedic Clinic, P.a.
• Cape Fear Orthopaedic Clinic, PA
• Cape Fear Orthotics & Prosthetics, Inc. (Cape Fear O&P)
• Cape Fear Pediatric Speech Therapy Services
• Cape Fear Physical Medicine and (Cape Fear Rehab)

• Dental Clinic/Center in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Dental Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.