Oral Surgery Associates, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY ASSOCIATES, PC

Practice address

2144 E Paris Ave SE Ste 150
Grand Rapids, MI 49546-6126

Phone

(616) 942-2000

Fax

(616) 942-6805

NPI assigned

Aug 17, 2006

Last updated

Jan 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J Mulder, DDS, MSNPI 1982796447

Title

President

Phone

(616) 942-2000

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth J Mulder, DDS,MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Rapids, MI
  • NPI 1982796447
  Authorized official Same address or phone
• David R Dalrymple, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Rapids, MI
  • NPI 1427002377
  NPD (past)
• David M Strand, DDS,MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Grandville, MI
  • NPI 1770675225
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516060800000",
    "number": "1033223250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466126",
            "telephone_number": "616-942-2000",
            "fax_number": "616-942-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466126",
            "telephone_number": "616-942-2000",
            "fax_number": "616-942-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2018-01-16",
        "status": "A",
        "authorized_official_last_name": "MULDER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-942-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Option Care Enterprises, Inc. (Option Care)
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• Opus Health PLLC (Adam Borecky MD)
• Oral & Maxillofacial Surgery Associates of Western Michigan PLC
• Oral and Maxillofacial Surgery Services, PLC
• Afiya Mari-Heri Orara, CLC, DOULA
• Orchard Hill Counseling
• Aishat Oredegbe, MD
• Elbin Aben-Alde Orellana, MA, LLP
• Brittany Oren

• Oral and Maxillofacial Surgery (Dentist) in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.