NPIMap

Organization Active NPI

North Star Oral & Facial Surgery, LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Fairbanks, AK
National Provider Identifier
1316492960
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
105542 Issued in AK
Legal business name
NORTH STAR ORAL & FACIAL SURGERY, LLC
Practice address
2009 Cowles St
Fairbanks, AK 99701-5916
Phone
(907) 374-8111
Fax
(907) 374-8119
NPI assigned
Aug 23, 2016
Last updated
Aug 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Authorized official

Name
Dr. Richard William Hompesch III, DDSNPI 1922325943
Title
Sole Owner
Phone
(907) 374-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 105542 AK Primary

Addresses

Primary practice location

2009 Cowles St
Fairbanks, AK 99701-5916

Mailing address

119 N Cushman St
Ste 400
Fairbanks, AK 99701-2879
Phone (907) 374-8111

National Provider Directory

National Provider Directory

Locations

119 N Cushman St
Ste 400
Fairbanks, AK 99701

2009 Cowles St
Fairbanks, AK 99701
Phone (907) 374-8111

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1316492960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N CUSHMAN ST",
            "address_2": "STE 400",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997012879",
            "telephone_number": "907-374-8111",
            "fax_number": "907-374-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 COWLES ST",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015916",
            "telephone_number": "907-374-8111",
            "fax_number": "907-374-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR ORAL & FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "HOMPESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "907-374-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "AK",
            "license": "105542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.