Hancock Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

HANCOCK ORAL AND MAXILLOFACIAL SURGERY

Practice address

1013 US-90
Bay Saint Louis, MS 39520

Phone

(228) 467-4229

NPI assigned

Apr 1, 2021

Last updated

Apr 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammed Ismail, DDS, MDNPI 1073886057

Title

Surgeon

Phone

(228) 467-4229

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mohammed Ismail, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Metairie, LA
  • NPI 1073886057
  NPD Authorized official
• Daniel Brian Harris, DDS.

  • Oral and Maxillofacial Surgery (Dentist)
  • Metairie, LA
  • NPI 1811980576
  NPD (past)
• Daniel J Hyneman, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Metairie, LA
  • NPI 1164953089
  NPD (past)

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1265010953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 US-90",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "39520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 US-90",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "228-467-4229",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hancock Chiroractic LLC
• Hancock Medical Center
• Hancock Medical Center
• Hancock Medical Center (Hancock Medical Inpatient Physician Services)
• Hancock Medical Center
• Hancock Physician Services, LLC
• Ethel Wiest Hetrick, PH.D.
• J Austin Rahaim, DMD, Ms, PA (BayView Orthodontics)
• Christina B James, LCSW
• Bailey Cambron Kassner, RD

• Oral and Maxillofacial Surgery (Dentist) in Bay Saint Louis, MS
• Providers in Bay Saint Louis, MS by specialty
• Oral and Maxillofacial Surgery (Dentist) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.