NPIMap

Organization Active NPI

Madison Oral and Facial Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Madison, AL
National Provider Identifier
1346576915
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5551 Issued in AL
Legal business name
MADISON ORAL AND FACIAL SURGERY, LLC
Practice address
44 Hughes Rd
Suite 1500
Madison, AL 35758-2237
Phone
(256) 774-3535
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Rakesh Shah, MD, DMD
Title
Managing Member
Phone
(205) 572-5880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 5551 AL Primary

Addresses

Primary practice location

44 Hughes Rd
Suite 1500
Madison, AL 35758-2237

Mailing address

44 Hughes Rd
Suite 1500
Madison, AL 35758-2237
Phone (256) 774-3535

National Provider Directory

National Provider Directory

Locations

44 Hughes Rd
Ste 1500
Madison, AL 35758
Phone (256) 774-3535

Practitioners & affiliated clinicians

Practitioners 5

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": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1346576915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "address_2": "SUITE 1500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582237",
            "telephone_number": "256-774-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "address_2": "SUITE 1500",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582237",
            "telephone_number": "256-774-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "205-572-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.