Organization Active NPI

Angell Oral Surgery Associates LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Oshkosh, WI
National Provider Identifier
1356535033
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
5001199 Issued in WI
Legal business name
ANGELL ORAL SURGERY ASSOCIATES LTD
Practice address
2700 W 9TH Ave
Suite 103
Oshkosh, WI 54904-7247
Phone
(920) 236-1680
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mona Calder
Title
Financial Coordinator
Phone
(920) 236-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 5001199 WI Primary

Addresses

Primary practice location

2700 W 9TH Ave
Suite 103
Oshkosh, WI 54904-7247

Mailing address

2700 W 9TH Ave
Suite 103
Oshkosh, WI 54904-7247
Phone (920) 236-1680

National Provider Directory

National Provider Directory

Locations

2700 W 9th Ave
Ste 103
Oshkosh, WI 54904
Phone (920) 236-1680

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1356535033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 103",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-236-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 103",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047247",
            "telephone_number": "920-236-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELL ORAL SURGERY ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "CALDER",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "920-236-1681"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5001199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.