Carolinas Oral & Facial Surgery Center, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CAROLINAS ORAL & FACIAL SURGERY CENTER, INC.

Practice address

1305 Physicians Dr
Wilmington, NC 28401-7352

Phone

(910) 762-2618

Fax

(910) 763-5173

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Andrea Rhodes

Title

Coo

Phone

(910) 762-2618

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9526/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael S. Booth, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
  • NPI 1770639171
  Medicare reassignment NPD
• Mark Edward Bufalini, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
  • NPI 1659481554
  Medicare reassignment NPD
• Steven Lemmon, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, NC
  • NPI 1033569926
  Medicare reassignment NPD
• Andrew Wade Ruble, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Camp Lejeune, NC
  • NPI 1538783485
  Medicare reassignment NPD
• Michael Clark Kinnebrew, M.D., D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Wilmington, NC
  • NPI 1346238862
  NPD (past)
• Jennifer Good Lane, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Asheville, NC
  • NPI 1811158652
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1811033137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017352",
            "telephone_number": "910-762-2618",
            "fax_number": "910-763-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017352",
            "telephone_number": "910-762-2618",
            "fax_number": "910-763-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS ORAL & FACIAL SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "910-762-2618"
    },
    "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": []
}

• Carolina Skin & Vein Center Inc.
• Carolina Sports Medicine &Orthopaedic Specialists PA
• Carolina SZ, LLC
• Carolina Vision Associates, OD, PA
• Carolinas Fertility Institute, P.a.
• Tracy Carpenter-Labrecque, DC
• Brittney Carpenter, LCSWA
• Keeley Nicole Carpenter
• Maria R Carpenter, BCBA
• Rebeca N Carpenter, LCSWA

• Oral and Maxillofacial Surgery (Dentist) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.