MIDLANDS ORAL AND MAXILLOFACIAL SURGERY
NPI 1386699288
Dentist - Oral and Maxillofacial Surgery in Columbia, SC
About Midlands Oral And Maxillofacial Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDLANDS ORAL AND MAXILLOFACIAL SURGERY (NPI 1386699288) is a healthcare organization registered as an oral and maxillofacial surgery in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Diane M Montes, Insurance Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midlands Oral And Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Midlands Oral And Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Midlands Oral And Maxillofacial Surgery's NPI number?
The NPI number for Midlands Oral And Maxillofacial Surgery is 1386699288. It was assigned to this organization in the NPPES registry on May 23, 2006.
Where is Midlands Oral And Maxillofacial Surgery located?
Midlands Oral And Maxillofacial Surgery is located at 1755 Saint Julian Pl, Columbia, SC 29204. The listed phone number is (803) 254-2972.
What is Midlands Oral And Maxillofacial Surgery's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Midlands Oral And Maxillofacial Surgery enrolled in Medicare?
Yes. Midlands Oral And Maxillofacial Surgery is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midlands Oral And Maxillofacial Surgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Midlands Oral And Maxillofacial Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Midlands Oral And Maxillofacial Surgery was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Midlands Oral And Maxillofacial Surgery · NPI 1386699288
Oral and Maxillofacial Surgery organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1386699288 (Entity type: Organization)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Diane Montes, INSURANCE COORDINATOR
## Practice location
- **Address:** 1755 SAINT JULIAN PL, Columbia, SC 29204-2409
- **Phone:** (803) 254-2972 · **Fax:** (803) 799-2151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Maxillofacial Surgery) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid ZA9935 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1386699288) · Data from the CMS NPPES public registry.