NPIMap

Organization Active NPI

Oakland Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Sterling Heights, MI
National Provider Identifier
1033299052
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OAKLAND ORAL SURGERY ASSOCIATES
Practice address
42051 Mound Rd
Sterling Heights, MI 48314-3143
Phone
(586) 323-7700
Fax
(586) 323-7707
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward M. Royal, D.M.D.
Title
President
Phone
(586) 323-7700

Specialties & licenses 1

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

Addresses

Primary practice location

42051 Mound Rd
Sterling Heights, MI 48314-3143

Mailing address

42051 Mound Rd
Sterling Heights, MI 48314-3143
Phone (586) 323-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050413000667 MI Part B Supplier - Clinic/Group Practice 9436196235 Receives reassigned benefits from 8 practitioners
Practice locations: Livonia, MI; Novi, MI; South Lyon, MI; Sterling HTS, MI

National Provider Directory

National Provider Directory
Tax ID family
Oakland Oral Surgery Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

35000 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 427-3366

25000 Joseph
Novi, MI 48375
Phone (248) 476-0800

22180 Pontiac Trl
Ste A
South Lyon, MI 48178
Phone (248) 486-9202

42051 Mound Rd
Sterling Hts, MI 48314
Phone (586) 323-7700

Practitioners & affiliated clinicians

Practitioners 8

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033299052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42051 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143143",
            "telephone_number": "586-323-7700",
            "fax_number": "586-323-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42051 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483143143",
            "telephone_number": "586-323-7700",
            "fax_number": "586-323-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-323-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.