NPIMap

Organization Active NPI

Cincinnati Oral & Maxillofacial Surgery Assoc., Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cincinnati, OH
National Provider Identifier
1861685968
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30017898 Issued in OH
Legal business name
CINCINNATI ORAL & MAXILLOFACIAL SURGERY ASSOC., INC.
Practice address
7803 5 Mile Rd
Cincinnati, OH 45230-2347
Phone
(513) 624-0055
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. James P Cassidy, DDSNPI 1336233857
Title
President
Phone
(513) 624-0055

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) 1223S0112X 30017898 OH Primary

Addresses

Primary practice location

7803 5 Mile Rd
Cincinnati, OH 45230-2347

Mailing address

7141 Miami Ave
202
Cincinnati, OH 45243-2616

Other identifiers 2

IdentifierTypeStateIssuer
U33502OtherOHUPIN
CI9928971OtherOHMEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Oral Maxillofacial Surgery Assoc Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7141 Miami Ave
#202
Cincinnati, OH 45243

7803 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 624-0055

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1861685968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 MIAMI AVE",
            "address_2": "202",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7803 5 MILE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452302347",
            "telephone_number": "513-624-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI ORAL & MAXILLOFACIAL SURGERY ASSOC., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-624-0055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30017898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "U33502",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CI9928971",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.