West Shore Oral & Maxillofacial Surgery Associates, PLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

B7708N Issued in MI

Legal business name

WEST SHORE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLC

Practice address

5957 Harvey St
Norton Shores, MI 49444-9737

Phone

(231) 733-1571

Fax

(231) 733-5228

NPI assigned

Jan 31, 2007

Last updated

Jun 12, 2020By 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

Mark T. Burye, DDSNPI 1033147723

Title

Owner

Phone

(231) 733-1571

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 10

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.

• Mark T. Burye, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Muskegon, MI
  • NPI 1033147723
  Medicare reassignment NPD Authorized official
• Erica Lynn Shook, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Oakland, CA
  • NPI 1154558989

  MI

  Medicare reassignment Care Compare group NPD
• Curtis Cardon, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Norton Shores, MI
  • NPI 1821433566
  Medicare reassignment Care Compare group
• Stephen P. Kahn, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Muskegon, MI
  • NPI 1356319529
  NPD (past)
• Jason Richard Martin, D.D.S.

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1518036524
  NPD (past)
• John L. Mixer, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Muskegon, MI
  • NPI 1689643777
  NPD (past)
• Erik Nelson Molby, DMD

  • General Practice Dentistry
  • Traverse City, MI
  • NPI 1700912284
  NPD (past)
• Jason Theodore Schlueter, DDS

  • General Practice Dentistry
  • Ludington, MI
  • NPI 1649761115
  NPD (past)
• Gregory S Benson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Michigan City, IN
  • NPI 1982704847
  NPD (past)
• Mark J Milano, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • N Dartmouth, MA
  • NPI 1265442321
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1053458604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 HARVEY ST STE 200",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494446735",
            "telephone_number": "231-733-1571",
            "fax_number": "231-733-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 HARVEY ST",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494449737",
            "telephone_number": "231-733-1571",
            "fax_number": "231-733-5228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3603 W US Highway 10",
            "address_purpose": "LOCATION",
            "city": "Ludington",
            "state": "MI",
            "postal_code": "494319662",
            "country_code": "US",
            "telephone_number": "231-733-1571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SHORE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BURYE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-733-1571",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "B7708N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wessel Family Chiropractic PLLC
• West Michigan ENT PC (West Michigan ENT & Allergy)
• West Michigan Eye & Laser
• West Michigan Home Health, Inc
• West Michigan Midwifery
• West Shore Otolaryngology PC (West Shore ENT & Allergy Farr Rd)
• West Shore Otolaryngology PC (West Shore ENT & Allergy Seminole Rd)
• Sarah Westenbroek, DNP, FNP-BC
• Melissa Westerhof
• Jennifer Lynn Wheeler

• Oral and Maxillofacial Surgery (Dentist) in Norton Shores, MI
• Providers in Norton Shores, 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 Jun 12, 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.