NPIMap

Organization Active NPI

Wise Omfs

  • Oral and Maxillofacial Surgery Clinic/Center
  • Trussville, AL
National Provider Identifier
1114621687
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
Legal business name
WISE OMFS
Doing business as
Wise Omfs
Practice address
5750 Bentley Way
Trussville, AL 35173-6700
Phone
(205) 665-5144
NPI assigned
Mar 29, 2023
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Dharti Patel
Title
Clinical Ops & Business Development
Phone
(973) 722-3327

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X NU Primary

Addresses

Primary practice location

5750 Bentley Way
Trussville, AL 35173-6700

Mailing address

5750 Bentley Way
Trussville, AL 35173-6700
Phone (205) 900-9473

Other names 1

  • WISE OMFS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wise Omfs3 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.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1114621687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 BENTLEY WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736700",
            "telephone_number": "205-900-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 BENTLEY WAY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351736700",
            "telephone_number": "205-665-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE OMFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHARTI",
        "authorized_official_title_or_position": "CLINICAL OPS & BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "973-722-3327"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WISE OMFS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.