1. Home
  2. Directory
  3. Minnesota
  4. Mankato
  5. Dentist
  6. NPI Profile

ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.
NPI 1578596177
Dentist - Oral and Maxillofacial Surgery in Mankato, MN

Active since July 08, 2006
1990 PREMIERE DR, MANKATO, MN 56001(507) 625-9330(507) 625-1440 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Associates In Oral And Maxillofacial Surgery, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A. (NPI 1578596177) is a healthcare organization registered as an oral and maxillofacial surgery in Mankato, Minnesota and active in the NPI registry since July 2006. The organization lists Kimberly Jo Urban, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1578596177
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameASSOCIATES IN ORAL AND MAXILLOFACIAL SURGERY, P.A.
Location Address1990 PREMIERE DRMankato, MN 56001-5900
Mailing Address1990 Premiere DrMankato, MN 56001-5900 · (507) 625-9330 · Fax (507) 625-1440
Phone(507) 625-9330
Fax(507) 625-1440
Organization SubpartNo
Authorized OfficialKimberly Jo UrbanPractice Manager · (507) 625-9330
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578596177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1990 PREMIERE DR, Mankato, MN 56001
Open in Google Maps ↗

Other Identifiers 1

Other06D38MAMN · Blue Cross #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Associates In Oral And Maxillofacial Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Associates In Oral And Maxillofacial Surgery, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Richard Marlow, D.M.D.
Maxillofacial Surgery
NPI 1306908702
1990 PREMIERE DR
Mankato, MN 56001
(507) 625-9330
✔ PECOS✔ Accepts MedicareSame address
Ryan Casper, DDS
Dentist
NPI 1083077259
1990 PREMIER DR
Mankato, MN 56001
(507) 625-9330
✔ PECOS✔ Accepts Medicare0.6 mi
David Curtis, D.D.S.
Maxillofacial Surgery
NPI 1265402531
2855 CAMPUS DR STE 670
Plymouth, MN 55441
(763) 520-1234
✔ PECOS✔ Accepts Medicare62 mi
Eugene Keller, D.D.S.
Oral Surgery
NPI 1437135498
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS75 mi
Phillip Vickers, D.D.S.
Maxillofacial Surgery
NPI 1720149529
200 1ST ST SW
Rochester, MN 55905
(507) 284-2511
✔ PECOS✔ Accepts Medicare75 mi

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 Associates In Oral And Maxillofacial Surgery, P.A.'s NPI number?

The NPI number for Associates In Oral And Maxillofacial Surgery, P.A. is 1578596177. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Associates In Oral And Maxillofacial Surgery, P.A. located?

Associates In Oral And Maxillofacial Surgery, P.A. is located at 1990 Premiere Dr, Mankato, MN 56001. The listed phone number is (507) 625-9330.

What is Associates In Oral And Maxillofacial Surgery, P.A.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Associates In Oral And Maxillofacial Surgery, P.A. enrolled in Medicare?

Yes. Associates In Oral And Maxillofacial Surgery, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Associates In Oral And Maxillofacial Surgery, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Associates In Oral And Maxillofacial Surgery, P.A.. 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. The largest specialties are Maxillofacial Surgery (3), Dentist (1) and Oral Surgery (1). Of these, 1 practice at this address and 2 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 Associates In Oral And Maxillofacial Surgery, P.A. 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.