Oral Cancer Reconstructive Surgeons of Texas PLLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC

Practice address

359 Keller Pkwy
Keller, TX 76248-2206

Phone

(817) 431-6995

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Misty Brown, DDSNPI 1881709541

Title

Owner

Phone

(817) 431-6995

Specialties & licenses 2

Addresses

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.

• Misty Jaye Brown, DDS

  • General Practice Dentistry
  • Keller, TX
  • NPI 1881709541
  Authorized official Same address or phone

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1336541820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482206",
            "telephone_number": "817-431-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482206",
            "telephone_number": "817-431-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL CANCER RECONSTRUCTIVE SURGEONS OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-431-6995",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michalla Oldham
• Marshall A Olson, DDS
• Omar a. Gomez, M.D.,P.a. (Kid Care Pediatrics)
• Optum Health & Sport Therapy
• Optum Health and Sport Therapy
• Isabelle Marie Ormiston, M.A. CCC-SLP
• Connor Orr
• Brittney Nicole Orren, OTR
• Ortholonestar, PLLC (Texas Orthopaedic Associates)
• Ortholonestar, PLLC (Texas Orthopaedic Associates)

• Customized Equipment (DME) in Keller, TX
• Providers in Keller, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.