Waterford Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WATERFORD ORAL SURGERY

Practice address

5246 S 31St St
Temple, TX 76502-3513

Phone

(254) 773-4444

Fax

(254) 773-4449

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Brad Anthony Schafer, DDSNPI 1487077558

Title

Owner/ Oral Surgeon

Phone

(254) 773-4444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Waterford Dental Specialists Former legal business name

Practitioners 1

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

• Brad Schafer, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
  • NPI 1487077558
  NPD Authorized official

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1033720065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023513",
            "telephone_number": "254-773-4444",
            "fax_number": "254-773-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023513",
            "telephone_number": "254-773-4444",
            "fax_number": "254-773-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/ ORAL SURGEON",
        "authorized_official_telephone_number": "254-773-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35686",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waterford Dental Specialists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madeline Washburn-Rodriguez, DO
• Renika S Washington, LVN
• Kayla Washuta, DO
• Nathaniel Tabor Wasson, MD
• Waterford Dental Specialists, PLLC
• Eugene Charles Waters, PHD
• Daniel Watkins, DO
• Heather Watkins, PA
• Samuel Watkins, PA
• Ann Watson, LCSW

• Oral and Maxillofacial Surgery (Dentist) in Temple, TX
• Providers in Temple, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.