Organization Active NPI

Oral and Maxillofacial Surgery Assoc.PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Spartanburg, SC
National Provider Identifier
1972718898
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3039 Issued in SC
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Dr. Charles Keith Cox, DDSNPI 1760465124
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z30395MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.