Oakwood Oral and Maxillofacial Surgery, Christopher N. Beale, DDS, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

OAKWOOD ORAL AND MAXILLOFACIAL SURGERY, CHRISTOPHER N. BEALE, DDS, LLC

Practice address

630 Lexington Ave
Mansfield, OH 44907-1500

Phone

(419) 756-0711

Fax

(419) 756-4886

NPI assigned

Mar 22, 2018

Last updated

Mar 22, 2018By 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

Randi Bittle

Title

Office Manager

Phone

(419) 756-0711

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Christopher Norman Beale, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Camp Lejeune, NC
  • NPI 1417155409
  NPD

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1306340567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071500",
            "telephone_number": "419-756-0711",
            "fax_number": "419-756-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071500",
            "telephone_number": "419-756-0711",
            "fax_number": "419-756-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD ORAL AND MAXILLOFACIAL SURGERY, CHRISTOPHER N. BEALE, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "BITTLE",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-756-0711"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0250095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie O'Dell
• Nancy A O'Diam, RN
• Patrick Michael O'Leary, D.O.
• Oak Grove Manor MRDD
• Oak Grove Manor Operating Company LLC (Oak Grove Manor)
• Elizabeth Oberlin
• Nyasha Oden
• Crystal Oertle
• Laura R Ogle
• Heather Reann Oglesbee, LMT

• Oral and Maxillofacial Surgery (Dentist) in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.