Organization Active NPI

Oms of SE NM, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Roswell, NM
National Provider Identifier
1053629089
Registry record updated Sep 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OMS OF SE NM, LLC
Doing business as
OMS of SE NM, LLC
Practice address
207 N. Union Ste. E
Oms of SE NM, LLC
Roswell, NM 88201-3068
Phone
(575) 623-5711
Fax
(575) 623-8628
NPI assigned
Sep 24, 2010
Organization subpart
Yes
Parent organization
OMS OF SE NM, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2010

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

Authorized official

Name
Mrs. Sherry C Eckel
Title
Owner
Phone
(575) 623-5711

Specialties & licenses 1

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

Addresses

Primary practice location

207 N. Union Ste. E
Oms of SE NM, LLC
Roswell, NM 88201-3068

Mailing address

207 N. Union Ste. E
Oms of SE NM, LLC
Roswell, NM 88201-3068
Phone (575) 623-5711

Other names 1

  • OMS of SE NM, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Oms of SE NM LLC

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285286400000",
    "number": "1053629089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N. UNION STE. E",
            "address_2": "OMS OF SE NM, LLC",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068",
            "telephone_number": "575-623-5711",
            "fax_number": "575-623-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N. UNION STE. E",
            "address_2": "OMS OF SE NM, LLC",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013068",
            "telephone_number": "575-623-5711",
            "fax_number": "575-623-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS OF SE NM, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OMS OF SE NM, LLC",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A",
        "authorized_official_last_name": "ECKEL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-623-5711",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMS of SE NM, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.