NPIMap

Organization Active NPI

Az Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesterfield, VA
National Provider Identifier
1144909300
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
AZ OMS SPECIALTY DENTAL SERVICES, LLC
Practice address
10110 Iron Bridge Rd
Chesterfield, VA 23832-6529
Phone
(504) 638-0303
NPI assigned
Jul 14, 2023
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
AZ OMS SPECIALTY DENTAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Authorized official

Name
Charlotte Dasch
Title
Director of Credentialing and PR
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

10110 Iron Bridge Rd
Chesterfield, VA 23832-6529

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759

National Provider Directory

National Provider Directory
Tax ID family
Az Oms Specialty Dental Services LLC4 organizations share this tax ID, including this one
Part of
Az Oms Specialty Dental Services LLC

Other organizations with this tax ID 3

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

Locations

16045 S Rancho Sahuarita Blvd
Sahuarita, AZ 85629
Phone (520) 745-2454

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1144909300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 IRON BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326529",
            "telephone_number": "504-638-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ OMS SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AZ OMS SPECIALTY DENTAL SERVICES, LLC",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING AND PR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.