The Center for Jaw Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12214 Issued in FL

Legal business name

THE CENTER FOR JAW SURGERY

Practice address

4420 Sheridan St Ste B
Hollywood, FL 33021-3552

Phone

(954) 981-4896

NPI assigned

Sep 11, 2015

Last updated

Apr 4, 2016By 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

Dr. Ira E StoneNPI 1811022858

Title

Owner

Phone

(954) 981-4896

Specialties & licenses 1

Addresses

Tax ID family

The Center for Jaw Surgery3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Center for Jaw Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Key West, FL
  • NPI 1114397759
  NPD tax ID
• The Center for Jaw Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Weston, FL
  • NPI 1396115937
  NPD tax ID

Locations

Practitioners 1

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.

• Ira Stone, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Hollywood, FL
  • NPI 1811022858
  NPD (past) Authorized official

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1083082713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "954-981-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 SHERIDAN ST STE B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213552",
            "telephone_number": "954-981-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR JAW SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-981-4896",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "12214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.