Oral and Maxillofacial Surgery of South Texas, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20137 Issued in TX

Legal business name

ORAL AND MAXILLOFACIAL SURGERY OF SOUTH TEXAS, P.A.

Practice address

4728 South Jackson Rd
Edinburg, TX 78539

Phone

(956) 878-1222

Fax

(956) 878-1228

NPI assigned

Sep 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Francisco M Perez, DMD, MSDNPI 1851381214

Title

Owner

Phone

(956) 878-1222

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Francisco M Perez, DMD MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1851381214
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1043544893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4728 S. JACKSON ROAD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396199",
            "telephone_number": "956-878-1222",
            "fax_number": "956-878-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 SOUTH JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-878-1222",
            "fax_number": "956-878-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY OF SOUTH TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-878-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRADITIONAL MEDICAID",
            "identifier": "210859903",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS DENTAL MEDICAID",
            "identifier": "210859901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN MEDICAL MEDICAID",
            "identifier": "210859905",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN DENTAL MEDICAID",
            "identifier": "210859902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THSTEPS MEDICAL MEDICAID",
            "identifier": "210859904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miriam Ontiveros, LPC
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• Sony Oommen, RPH
• Opengates Urgent Care LLC
• Oral and Craniofacial Center
• Kevin Orellana
• Gerardo Athanasi Orfanos, DDS
• Gerardo Athanasi Orfanos, M.D.
• Saulina Rosario Orizaga, FNP
• Wilmer Paul Orjuela, DDS

• Oral and Maxillofacial Surgery (Dentist) in Edinburg, TX
• Providers in Edinburg, 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 Jul 26, 2010; 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.