Oral Surgery Office Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY OFFICE INC

Practice address

730 Sunrise Ave
Ste 130
Roseville, CA 95661

Phone

(916) 782-2161

Fax

(916) 782-0677

NPI assigned

Jan 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Reginald E Gowans, DDS

Title

Owner President

Phone

(916) 782-2161

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Reginal Gowans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Oral Surgery Office, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Roseville, CA
  • NPI 1306034285
  NPD tax ID

Locations

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1104002294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-2161",
            "fax_number": "916-782-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-782-2161",
            "fax_number": "916-782-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY OFFICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "GOWANS",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "916-782-2161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR GOWANS",
            "identifier": "1043408925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Opalenik, C.R.N.P.
• Optic Options Vision Products Inc
• Optimize Home Health Inc.
• Optimum Health Centre
• Or Solutions Inc
• Oral Surgery Office, Inc.
• Jennifer Alexis Orantes
• Aaron Todd Oravetz
• Roxanne Sherrill Oravetz, M.A.
• Lilian Ordonez Paz

• Oral and Maxillofacial Surgery (Dentist) in Roseville, CA
• Providers in Roseville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.