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ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC
NPI 1831264324
Dentist - Oral and Maxillofacial Surgery in Fort Wayne, IN

Active since November 21, 2006
7845 CARNEGIE BLVD, FORT WAYNE, IN 46804(260) 969-4105(260) 969-4118 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2025, Jul 9, 2020, Jul 6, 2018 and 1 more (4 updates tracked since 2016).

About Oral & Maxillofacial Surgery Associates Pc NPPES

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

ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC (NPI 1831264324) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Wayne, Indiana and active in the NPI registry since November 2006. The organization lists Celeste C Sholl, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1831264324
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC
Location Address7845 CARNEGIE BLVDFort Wayne, IN 46804
Mailing Address7845 Carnegie BlvdFort Wayne, IN 46804-5792 · (260) 969-4105 · Fax (260) 969-4118
Phone(260) 969-4105
Fax(260) 969-4118
Organization SubpartNo
Authorized OfficialCeleste C ShollCredentialing Coordinator · (260) 969-4113
Enumeration DateNovember 21, 2006
Last NPPES UpdateAugust 18, 20254 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1831264324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
7845 CARNEGIE BLVD, Fort Wayne, IN 46804
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Other Identifiers 3

Medicaid200029030IN
Other6185590001IN · Dme Mac
Other6185590001IN · Ngs Dme Mac

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oral & Maxillofacial Surgery Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Oral & Maxillofacial Surgery Associates PC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Ryan Diepenbrock, D.D.S.
Oral Surgery
NPI 1942399159
7845 CARNEGIE BLVD STE A
Fort Wayne, IN 46804
(260) 423-2340
✔ PECOSSame address
James Oneill, DDS
Maxillofacial Surgery
NPI 1376701045
7845 CARNEGIE BLVD
Fort Wayne, IN 46804
(260) 423-2340
✔ PECOSSame address
Lucas Reed, DDS
Maxillofacial Surgery
NPI 1033366711
7845 CARNEGIE BLVD
Fort Wayne, IN 46804
(260) 423-2340
✔ PECOSSame address
Steven Schimmele, DDS
Maxillofacial Surgery
NPI 1538179684
7845 CARNEGIE BLVD
Fort Wayne, IN 46804
(260) 423-2340
✔ PECOSSame address
Josiah Smith, DDS
Oral Surgery
NPI 1700347168
7845 CARNEGIE BLVD
Fort Wayne, IN 46804
(260) 969-4113
✔ PECOSSame address
Amy Sutton, NP
Nurse Practitioner
NPI 1912157173
7956 W JEFFERSON BLVD
Fort Wayne, IN 46804
(260) 436-2416
✔ PECOS2.3 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 Oral & Maxillofacial Surgery Associates PC's NPI number?

The NPI number for Oral & Maxillofacial Surgery Associates PC is 1831264324. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Oral & Maxillofacial Surgery Associates PC located?

Oral & Maxillofacial Surgery Associates PC is located at 7845 Carnegie Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 969-4105.

What is Oral & Maxillofacial Surgery Associates PC's specialty?

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

Is Oral & Maxillofacial Surgery Associates PC enrolled in Medicare?

Yes. Oral & Maxillofacial Surgery Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral & Maxillofacial Surgery Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Oral & Maxillofacial Surgery Associates PC. 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), Oral Surgery (2) and Nurse Practitioner (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Oral & Maxillofacial Surgery Associates PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Oral & Maxillofacial Surgery Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgery Associates PC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.