Organization Active NPI

Dubois Oral Surgery, PLLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Du Bois, PA
National Provider Identifier
1134073653
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
DUBOIS ORAL SURGERY, PLLC
Practice address
90 Beaver Dr Ste 209D
Du Bois, PA 15801-2449
Phone
(814) 299-5151
Fax
(814) 299-5156
NPI assigned
Feb 23, 2026
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DUBOIS ORAL SURGERY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Dr. Katherine N Richardson, MS, DDSNPI 1588125454
Title
Oral Surgeon
Phone
(814) 299-5151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary

Addresses

Primary practice location

90 Beaver Dr Ste 209D
Du Bois, PA 15801-2449

Mailing address

90 Beaver Dr Ste 209D
Du Bois, PA 15801-2449
Phone (814) 299-5151

National Provider Directory

National Provider Directory
Part of
Dubois Oral Surgery PLLC

Locations

90 Beaver Dr
Ste 209D
Dubois, PA 15801
Phone (814) 299-5151

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1134073653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 209D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012449",
            "telephone_number": "814-299-5151",
            "fax_number": "814-299-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 209D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012449",
            "telephone_number": "814-299-5151",
            "fax_number": "814-299-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBOIS ORAL SURGERY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUBOIS ORAL SURGERY, PLLC",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "814-299-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

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