Organization Active NPI

Canterbury Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Hays, KS
National Provider Identifier
1033127485
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CANTERBURY ORAL & MAXILLOFACIAL SURGERY
Practice address
2901 Canterbury Dr
Hays, KS 67601-2152
Phone
(785) 628-1079
Fax
(785) 628-1090
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Mrs. Amy Huxman
Title
Office Manager
Phone
(785) 628-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2901 Canterbury Dr
Hays, KS 67601-2152

Mailing address

2901 Canterbury Dr
Hays, KS 67601-2152
Phone (785) 628-1079

Other identifiers 3

IdentifierTypeStateIssuer
1629057088OtherKSRONALD L. ROHOLT, DDS, MD
1043263858OtherKSCRAIG E. MILLER, DDS
1306825476OtherKSKURT MARTIN, DDS, MD

National Provider Directory

National Provider Directory

Locations

2901 Canterbury Dr
Hays, KS 67601
Phone (785) 301-2250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1033127485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012152",
            "telephone_number": "785-628-1079",
            "fax_number": "785-628-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012152",
            "telephone_number": "785-628-1079",
            "fax_number": "785-628-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERBURY ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "HUXMAN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-628-1079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RONALD L. ROHOLT, DDS, MD",
            "identifier": "1629057088",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRAIG E. MILLER, DDS",
            "identifier": "1043263858",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KURT MARTIN, DDS, MD",
            "identifier": "1306825476",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.