Organization Active NPI

J. Rice Oral Maxillofacial and Aesthetic Facial Surgery P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Clearfield, PA
National Provider Identifier
1912521634
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
J. RICE ORAL MAXILLOFACIAL AND AESTHETIC FACIAL SURGERY P.C.
Practice address
109 N Front St
Clearfield, PA 16830-2512
Phone
(814) 765-3533
Fax
(814) 765-0341
NPI assigned
May 29, 2020
Last updated
Jun 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Denise N Casher
Title
Receptionist
Phone
(814) 765-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

109 N Front St
Clearfield, PA 16830-2512

Mailing address

109 N Front St
Clearfield, PA 16830-2512
Phone (814) 765-3533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051129000850 PA Part B Supplier - Clinic/Group Practice 3476573981 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradford, PA; Clearfield, PA; Du Bois, PA; Saint Marys, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
J Rice Oral Maxillofacial and Aesthetic Facial Surgery PC2 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.

Locations

109 N Front St
Clearfield, PA 16830
Phone (814) 765-0341

90 Beaver Dr
Ste 101A
Dubois, PA 15801
Phone (814) 375-0500

312 W Mahoning St
Punxsutawney, PA 15767
Phone (800) 694-9053

Practitioners & affiliated clinicians

Practitioners 3

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": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1912521634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N FRONT ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302512",
            "telephone_number": "814-765-3533",
            "fax_number": "814-765-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FRONT ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302512",
            "telephone_number": "814-765-3533",
            "fax_number": "814-765-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. RICE ORAL MAXILLOFACIAL AND AESTHETIC FACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "CASHER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "814-765-3533"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.