Organization Active NPI

Scott a Weiskopf DDS Inc

Doing business as Cordova Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Cordova, TN
National Provider Identifier
1003250523
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
9560 Issued in TN
Legal business name
SCOTT A WEISKOPF DDS INC
Doing business as
Cordova Oral and Facial Surgery
Practice address
8511 Mysen CV
Cordova, TN 38018-7391
Phone
(314) 640-3178
NPI assigned
Apr 26, 2013
Last updated
Apr 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Scott Weiskopf, D.D.S
Title
Oral and Maxillofacial Surgeon
Phone
(314) 640-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 9560 TN Primary

Addresses

Primary practice location

8511 Mysen CV
Cordova, TN 38018-7391

Mailing address

8511 Mysen CV
Cordova, TN 38018-7391
Phone (314) 640-3178

Other names 1

  • Cordova Oral and Facial Surgery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1003250523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 MYSEN CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187391",
            "telephone_number": "314-640-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 MYSEN CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187391",
            "telephone_number": "314-640-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A WEISKOPF DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "WEISKOPF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "314-640-3178",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cordova Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.