Northwest Missouri Oral & Maxillofacial Surgeons

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTHWEST MISSOURI ORAL & MAXILLOFACIAL SURGEONS

Practice address

3109 Frederick Ave Ste a
Saint Joseph, MO 64506-3073

Phone

(816) 364-4774

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Ronald W Taylor, DDS, MSNPI 1588625206

Title

Co-Owner

Phone

(816) 364-4774

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Ronald Wilson Taylor, D.D.S., M.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Joseph, MO
  • NPI 1588625206
  Authorized official Same address or phone
• Shawn C Boehm, DDS,MD

  • Dentist
  • Saint Joseph, MO
  • NPI 1902397250
  NPD
• Robert M Crittenden, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Joseph, MO
  • NPI 1437144458
  NPD (past)
• Perrin Saville Jungbluth, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Saint Joseph, MO
  • NPI 1104887439
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1154485613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 FREDERICK AVE STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063073",
            "telephone_number": "816-364-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 FREDERICK AVE STE A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063073",
            "telephone_number": "816-364-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MISSOURI ORAL & MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "816-364-4774",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Health Services, Inc (North End Health Center)
• Northwest Health Services, Inc (Family Medicine Associates)
• Northwest Health Services, Inc. (NW Family Dental)
• Northwest Health Services, Inc. (Downtown Health Center)
• Northwest Missouri Children's Advocacy Center
• Northwest Missouri Pathologists, M.D., P.C.
• Northwest Missouri Physical Medicine and Rehabilitation, LLC
• Robin Kellogg Norton
• Novamed Surgery Center of St. Joseph, LLC
• Mary Novinger, R.N.

• Oral and Maxillofacial Surgery (Dentist) in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.