Mountain Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

00201797 Issued in CO

Legal business name

MOUNTAIN ORAL & MAXILLOFACIAL SURGERY

Practice address

7913 Allison Way
Suite 101
Arvada, CO 80005-5032

Phone

(303) 422-2990

Fax

(303) 425-4386

NPI assigned

May 21, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Robert Cory Ryan, MD. DDS

Title

President

Phone

(404) 694-2584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard A Newman, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Arvada, CO
  • NPI 1407884810
  NPD (past)

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1245676907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 101",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-422-2990",
            "fax_number": "303-425-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 ALLISON WAY",
            "address_2": "SUITE 101",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800055032",
            "telephone_number": "303-422-2990",
            "fax_number": "303-425-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-694-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD.  DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "00201797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Morrison, DC
• Jeffrey Curtis Moser, DDS
• Jack Cameron Moss, D.D.S.
• Mount Tabor Counseling
• Mountain Dental PC
• Mountain States Hand and Physical Therapy, Inc
• Mountain Thrive Counseling PLLC
• Mountain Valley Mental Health, LLC
• Mountain View Medical Supply, Inc.
• Mountain West Dialysis Services LLC

• Oral and Maxillofacial Surgery (Dentist) in Arvada, CO
• Providers in Arvada, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.