CAROLINAS CENTER FOR ORAL AND FACIAL SURGERY
NPI 1972554186
Oral & Maxillofacial Surgery in Charlotte, NC
NPI Status: Active since May 12, 2006
Contact Information
411 BILLINGSLEY RD
SUITE 105
CHARLOTTE, NC
ZIP 28211
Phone: (704) 347-3900
Fax: (704) 347-0133
- Organization
- Oral & Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 34D2276459
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 02-08-2027
About CAROLINAS CENTER FOR ORAL AND FACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Carolinas Center For Oral And Facial Surgery, a provider established in Charlotte, North Carolina operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1972554186 assigned on May 2006. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Carolinas Center For Oral And Facial Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Carolinas Center For Oral And Facial Surgery. The authorized official of this NPI record is Mrs. Jennifer Rayle Hock (Director Of Billing)
- NPI
- 1972554186
- Provider Legal Name
- DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO
- Other Organization Name
- CAROLINAS CENTER FOR ORAL AND FACIAL SURGERY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 411 BILLINGSLEY RD SUITE 105 CHARLOTTE, NC 28211
- Location Phone
- (704) 347-3900
- Location Fax
- (704) 347-0133
- Mailing Address
- 5550 77 CENTER DR STE 320 CHARLOTTE, NC 28217
- Mailing Phone
- (704) 295-4653
- Mailing Fax
- (704) 347-0133
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-12-2006
- Last Update Date
- 03-20-2023
- Code Navigator
Location Map
Secondary Locations
- 8738 University City Blvd
Charlotte, NC 28213
(704) 547-0837 - 160 Turnberry Way
Pinehurst, NC 28374
(910) 725-1403 - 149 Plantation Ridge Dr Ste 170
Mooresville, NC 28117
(704) 686-7661 - 1208 Mann Dr Ste 100
Matthews, NC 28105
(704) 846-1166 - 1041 X Ray Dr
Gastonia, NC 28054
(704) 820-1195 - 7482 Waterside Crossing Blvd Ste 101
Denver, NC 28037
(704) 820-2982 - 130 Lake Concord Rd NE
Concord, NC 28025
(704) 788-1192 - 2711 Randolph Rd Ste 100
Charlotte, NC 28207
(704) 716-9840 - 8840 Blakeney Professional Dr Ste 102
Charlotte, NC 28277
(704) 716-9840 - 8840 Blakeney Professional Dr Ste 300
Charlotte, NC 28277
(704) 716-9840 - 4 Vanderbilt Park Dr Ste 210
Asheville, NC 28803
(828) 505-1960 - 50A Bowman Dr
Waynesville, NC 28785
(828) 564-2510 - 4 Medical Park Dr
Asheville, NC 28803
(828) 255-7781 - 902 Fleming St
Hendersonville, NC 28791
(828) 233-3355 - 37 Crestview Hts Ste B
Sylva, NC 28779
(828) 354-0307 - 135 McBrayer Dr
Rutherfordton, NC 28139
(828) 287-2343
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health - EPO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 890328M | MEDICAID (05) | NC | |
| ZAN993 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2276459
- Facility Type
- Practitioner Other
- Certificate Effective Date
- February 09, 2025
- Certificate Expiration Date
- February 08, 2027
- Laboratory Director
- JOHN D. KISELLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Carolinas Center For Oral And Facial Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972554186, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
CHARLOTTE, NC 28211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972554186, enumerated as an "organization" on May 12, 2006.
The provider is located at 411 BILLINGSLEY RD SUITE 105 CHARLOTTE, NC 28211 and the phone number is (704) 347-3900.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Humana,. Please consult your insurance carrier or call the provider to verify.
