Organization Active NPI

Oral Facial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
National Provider Identifier
1023383874
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0000000014 Issued in TN
Legal business name
ORAL FACIAL SURGERY CENTER
Practice address
322 22ND Ave N
Nashville, TN 37203-1842
Phone
(615) 329-4401
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Dr. Jeffrey Carter
Title
Chief Medical Officer
Phone
(615) 329-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0000000014 TN Primary

Addresses

Primary practice location

322 22ND Ave N
Nashville, TN 37203-1842

Mailing address

322 22ND Ave N
Nashville, TN 37203-1842
Phone (615) 329-4401

Other identifiers 1

IdentifierTypeStateIssuer
3630981MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Oral Facial Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1023383874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031842",
            "telephone_number": "615-329-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031842",
            "telephone_number": "615-329-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL FACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "615-329-4401",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3630981",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.