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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery Clinic/Center
- License
- 9560
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.