Organization Active NPI

Richmond Oral Surgery Associates, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
National Provider Identifier
1255411542
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
54000188A Issued in IN
Legal business name
RICHMOND ORAL SURGERY ASSOCIATES, INC.
Practice address
888 Sim Hodgin Pkwy
Richmond, IN 47374-1936
Phone
(765) 966-7537
Fax
(765) 966-0370
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J. Robert Hall, DDS
Title
President/Oral Surgeon
Phone
(765) 966-7537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 54000188A IN Primary

Addresses

Primary practice location

888 Sim Hodgin Pkwy
Richmond, IN 47374-1936

Mailing address

888 Sim Hodgin Pkwy
Richmond, IN 47374-1936
Phone (765) 966-7537

National Provider Directory

National Provider Directory

Locations

888 Sim Hodgin Pkwy
Richmond, IN 47374
Phone (765) 962-3000

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255411542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ORAL SURGERY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/ORAL SURGEON",
        "authorized_official_telephone_number": "765-966-7537",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "54000188A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.