Oral and Maxillofacial Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES

Practice address

7200 Halcyon Summit Drive
Montgomery, AL 36117-7047

Phone

(334) 277-3492

Fax

(334) 277-9432

NPI assigned

Sep 26, 2006

Last updated

Jul 21, 2022By 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

Mrs. Dinah S Burrows

Title

Business Manager

Phone

(334) 277-3492

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 5

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.

• Matthew W Johnson, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Montgomery, AL
  • NPI 1962659631
  Medicare reassignment Care Compare group NPD
• Richard A Kean, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Montgomery, AL
  • NPI 1154412336
  Medicare reassignment Care Compare group NPD
• Taylor Jieun Jung, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
  • NPI 1336568823

  AL

  Medicare reassignment Care Compare group NPD
• Jeremiah Jason Parker, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Montgomery, AL
  • NPI 1912051921
  Medicare reassignment Care Compare group
• Jesse William Austin III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Montgomery, AL
  • NPI 1043940265
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043311392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 HALCYON SUMMIT DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177047",
            "telephone_number": "334-277-3492",
            "fax_number": "334-277-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HALCYON SUMMIT DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177047",
            "telephone_number": "334-277-3492",
            "fax_number": "334-277-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "BURROWS",
        "authorized_official_first_name": "DINAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "334-277-3492",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529100290",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.