NPIMap

Organization Active NPI

DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Ho

Doing business as Carolinas Center For Oral And Facial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Rock Hill, SC
National Provider Identifier
1861913022
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
Doing business as
Carolinas Center For Oral And Facial Surgery
Upstate Oral & Maxillofacial Surgery
Practice address
1761 Ebenezer Road
Rock Hill, SC 29732
Phone
(803) 207-8318
NPI assigned
Jun 28, 2017
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Jennifer Rayle Hock
Title
Director of Billing
Phone
(704) 295-4653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary

Addresses

Primary practice location

1761 Ebenezer Road
Rock Hill, SC 29732

Mailing address

5550 77 Center Dr Ste 320
Charlotte, NC 28217-0739
Phone (704) 295-4653

Other practice location 1

280 Rocky Slope Rd
Greenville, SC 29607-3908
Phone (864) 751-9972

Other practice location 2

883 NE Main St
Simpsonville, SC 29681-2051
Phone (864) 881-3318

Other practice location 3

515 Worley Rd
Greenville, SC 29609-3753
Phone (864) 714-1800

Other practice location 4

688 Bypass 72 NW Ste B
Greenwood, SC 29649-1302
Phone (864) 751-9972

Other practice location 5

4103 E North St
Greenville, SC 29615-2350
Phone (864) 268-6417

Other practice location 6

3573 Sunset Blvd
West Columbia, SC 29169-3043
Phone (803) 973-4530

Other practice location 7

112 Saluda Ridge Ct Ste 400
West Columbia, SC 29169-3461
Phone (803) 796-5791

Other practice location 8

109 Reed Ave
Lexington, SC 29072-2016
Phone (803) 957-6113

Other practice location 9

115 Powell Mill Rd
Spartanburg, SC 29301-1531
Phone (864) 574-2011

Other practice location 10

1325 Drayton Rd
Spartanburg, SC 29307-5106
Phone (864) 591-3500

Other practice location 11

811 E North 1st St
Seneca, SC 29678-2827
Phone (864) 888-8201

Other practice location 12

227 S Pendleton St Ste A
Easley, SC 29640-3084
Phone (864) 855-0383

Other practice location 13

104 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 226-8559

Other practice location 14

314 Union Station Dr
Seneca, SC 29678-4547
Phone (864) 482-7500

Other practice location 15

408 SE Main St
Simpsonville, SC 29681-2652
Phone (864) 881-3318

Other names 3

  • Carolinas Center For Oral And Facial Surgery Doing business as
  • Upstate Oral & Maxillofacial Surgery Doing business as
  • Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco PA Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2138809DRS Misiek, Farrell, Farrell, Nale, Cook, Kapitan,1761 Ebenezer Road, Rock Hill, SC 29732Certificate of waiverOct 24, 2027
42D2331679DRS Farrell, Farrell, Nale, Cook, Kapitan, Mohamed1761 Ebenezer Road, Rock Hill, SC 29732Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
DRS Spagnoli Tucker Crowley Galup Misiek and Gollehon6 organizations share this tax ID, including this one
Part of
DRS Spagnoli Tucker Crowley Galup Misiek and Gollehon

Other organizations with this tax ID 5

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

Locations

8738 University City Blvd
Charlotte, NC 28213
Phone (704) 547-0837

8840 Blakeney Professional Dr
Ste 102
Charlotte, NC 28277
Phone (704) 714-1401

8840 Blakeney Professional Dr
Ste 300
Charlotte, NC 28277
Phone (704) 716-8840

1041 X Ray Dr
Gastonia, NC 28054
Phone (704) 820-1195

1401 Sunday Dr
Ste 109
Raleigh, NC 27607
Phone (541) 280-1590

104 Montgomery Dr
Anderson, SC 29621
Phone (864) 225-7401

227 S Pendleton St
Ste A
Easley, SC 29640
Phone (864) 855-0383

280 Rocky Slope Rd
Greenville, SC 29607
Phone (864) 252-9464

1761 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 207-8318

811 E North 1st St
Seneca, SC 29678
Phone (864) 888-8201

408 SE Main St
Simpsonville, SC 29681
Phone (864) 228-8010

Practitioners & affiliated clinicians

Practitioners 43

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.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1861913022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 77 CENTER DR STE 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282170739",
            "telephone_number": "704-295-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 EBENEZER ROAD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-207-8318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Rocky Slope Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296073908",
            "country_code": "US",
            "telephone_number": "864-751-9972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "883 NE Main St",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812051",
            "country_code": "US",
            "telephone_number": "864-881-3318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 Worley Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296093753",
            "country_code": "US",
            "telephone_number": "864-714-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "688 Bypass 72 NW Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "SC",
            "postal_code": "296491302",
            "country_code": "US",
            "telephone_number": "864-751-9972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4103 E North St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296152350",
            "country_code": "US",
            "telephone_number": "864-268-6417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3573 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693043",
            "country_code": "US",
            "telephone_number": "803-973-4530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Saluda Ridge Ct Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693461",
            "country_code": "US",
            "telephone_number": "803-796-5791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Reed Ave",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290722016",
            "country_code": "US",
            "telephone_number": "803-957-6113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Powell Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293011531",
            "country_code": "US",
            "telephone_number": "864-574-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 Drayton Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293075106",
            "country_code": "US",
            "telephone_number": "864-591-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E North 1st St",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296782827",
            "country_code": "US",
            "telephone_number": "864-888-8201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 S Pendleton St Ste A",
            "address_purpose": "LOCATION",
            "city": "Easley",
            "state": "SC",
            "postal_code": "296403084",
            "country_code": "US",
            "telephone_number": "864-855-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Montgomery Dr",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296213334",
            "country_code": "US",
            "telephone_number": "864-226-8559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "314 Union Station Dr",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296784547",
            "country_code": "US",
            "telephone_number": "864-482-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "408 SE Main St",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296812652",
            "country_code": "US",
            "telephone_number": "864-881-3318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "HOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RAYLE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "704-295-4653"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas Center For Oral And Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas Center For Oral And Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Upstate Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs Misiek, Farrell, Farrell, Nale, Cook, Kapitan, Mohamed & Franco PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.