Active NPI
Tmhpo Oral & Maxillofacial Surgery
- Oral & Maxillofacial Surgery (D.M.D.)
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- Legal business name
- TMHPO ORAL & MAXILLOFACIAL SURGERY
- Practice address
- 6560 Fannin St
Suite 1228
Houston, TX 77030-2761 - Phone
- (713) 441-5577
- Fax
- (713) 793-7092
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Henry Dirk Sostman, MD
- Title
- President & Ceo
- Phone
- (713) 790-2221
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | Primary |
Addresses
Primary practice location
6560 Fannin St
Suite 1228
Houston, TX 77030-2761
Mailing address
6565 Fannin St
D200
Houston, TX 77030-2703
Phone (713) 790-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050726000353 | TX | Part B Supplier - Clinic/Group Practice | 8123055712 |
Receives reassigned benefits from 3 practitioners Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
6550 Fannin St
#1280
Houston, TX 77030
Phone (713) 441-5577
7550 Greenbriar Dr
Ste 6230
Houston, TX 77030
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Houston, TX
- NPI 1104338185
Oral & Maxillofacial Surgery, TX
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Houston, TX
- NPI 1043249287
Oral & Maxillofacial Surgery, TX
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Houston, TX
- NPI 1033144209
Oral & Maxillofacial Surgery, TX
-
- Oral and Maxillofacial Surgery (Dentist)
- Peoria, IL
- NPI 1467669762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254441600000",
"number": "1174544738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 FANNIN ST",
"address_2": "D200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302703",
"telephone_number": "713-790-2221",
"fax_number": "713-793-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6560 FANNIN ST",
"address_2": "SUITE 1228",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302761",
"telephone_number": "713-441-5577",
"fax_number": "713-793-7092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TMHPO ORAL & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2009-10-02",
"status": "A",
"authorized_official_last_name": "SOSTMAN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "DIRK",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "713-790-2221",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Oral & Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.