Active NPI
Oral and Maxillofacial Surgery Assoc.PA
- Oral and Maxillofacial Surgery (Dentist)
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 3039
- Legal business name
- ORAL AND MAXILLOFACIAL SURGERY ASSOC.PA
- Practice address
- 1325 Drayton Rd
Spartanburg, SC 29307-5106 - Phone
- (864) 591-3500
- Fax
- (864) 591-2235
- NPI assigned
- May 14, 2007
- Last updated
- Jul 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Keith Cox, DDS
- Title
- Oral Surgeon
- Phone
- (864) 591-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3039 | SC | Primary |
Addresses
Primary practice location
1325 Drayton Rd
Spartanburg, SC 29307-5106
Mailing address
1325 Drayton Rd
Spartanburg, SC 29307-5106
Phone (864) 591-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z30395 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
1325 Drayton Rd
Spartanburg, SC 29307
Phone (864) 591-3500
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Spartanburg, SC
- NPI 1760465124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184284800000",
"number": "1972718898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 DRAYTON RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293075106",
"telephone_number": "864-591-3500",
"fax_number": "864-591-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 DRAYTON RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293075106",
"telephone_number": "864-591-3500",
"fax_number": "864-591-2235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL AND MAXILLOFACIAL SURGERY ASSOC.PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-13",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "KEITH",
"authorized_official_title_or_position": "ORAL SURGEON",
"authorized_official_telephone_number": "864-591-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "SC",
"license": "3039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z30395",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.