NPIMap

Organization Active NPI

Oral & Maxillofacial Surgery Fox Cities, S.C.

  • Durable Medical Equipment & Medical Supplies
  • Appleton, WI
National Provider Identifier
1154555373
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5068015 Issued in WI
Legal business name
ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.
Practice address
5395 Michaels Dr
Appleton, WI 54913-8447
Phone
(920) 739-1214
Fax
(920) 739-5855
NPI assigned
May 4, 2009
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Ms. Amanda Newhouse
Title
Patient Accounts
Phone
(920) 739-1214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5068015 WI Primary

Addresses

Primary practice location

5395 Michaels Dr
Appleton, WI 54913-8447

Mailing address

5395 Michaels Dr
Appleton, WI 54913-8447
Phone (920) 739-1214

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1154555373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 MICHAELS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138447",
            "telephone_number": "920-739-1214",
            "fax_number": "920-739-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 MICHAELS DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138447",
            "telephone_number": "920-739-1214",
            "fax_number": "920-739-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY FOX CITIES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "920-739-1214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "5068015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.