Oral & Maxillofacial Surgery Assoc PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

ORAL & MAXILLOFACIAL SURGERY ASSOC PC

Practice address

116 E 11TH St
Suite 201
Spencer, IA 51301-4364

Phone

(712) 262-7350

Fax

(712) 262-7351

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Benjamin Synhorst II, D.D.S.NPI 1598760605

Title

President

Phone

(712) 262-7350

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 5

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

• John Benjamin Synhorst II, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Spencer, IA
  • NPI 1598760605
  NPD (past) Authorized official
• Zephanie Cole, D.C.

  • Chiropractor
  • Fairmont, MN
  • NPI 1437570850
  NPD (past)
• Steven R Evelhoch, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Peoria, IL
  • NPI 1972667160
  NPD (past)
• John Charles McCabe, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Manchester, CT
  • NPI 1922105352
  NPD (past)
• Karen Potaczek, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Eau Claire, WI
  • NPI 1700089513
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1851453369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST",
            "address_2": "SUITE 201",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014364",
            "telephone_number": "712-262-7350",
            "fax_number": "712-262-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST",
            "address_2": "SUITE 201",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014364",
            "telephone_number": "712-262-7350",
            "fax_number": "712-262-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "SYNHORST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "712-262-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138982",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080020100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173325",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "288M8OR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN B SYNHORST BCBS IA",
            "identifier": "13898",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nwia Bone, Joint & Sports Surgeons, PC
• Carol Ann Olberding, P.A. - C
• Bradley C Olsen
• Dana Olson
• Amy Marie Ondler, LISW
• Nikki S Orr, PSYD
• Orthopaedics PC
• Orthopaedics, PC
• Parker Creek Healthcare LLC
• Paul Anderson

• Oral and Maxillofacial Surgery Clinic/Center in Spencer, IA
• Providers in Spencer, IA by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.