Organization Active NPI

Richmond Oral Surgery Associates Acquisition, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
National Provider Identifier
1356637557
Registry record updated Jun 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12010966A Issued in IN
Legal business name
RICHMOND ORAL SURGERY ASSOCIATES ACQUISITION, LLC
Practice address
888 Sim Hodgin Pkwy
Suite C
Richmond, IN 47374-1936
Phone
(765) 966-7537
Fax
(765) 966-0370
NPI assigned
Jun 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2011

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

Authorized official

Name
Dr. Harry Papadopoulos, DDS, MDNPI 1306837182
Title
Oral Surgeon
Phone
(765) 966-7537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 12010966A IN Primary

Addresses

Primary practice location

888 Sim Hodgin Pkwy
Suite C
Richmond, IN 47374-1936

Mailing address

888 Sim Hodgin Pkwy
Suite C
Richmond, IN 47374-1936
Phone (765) 966-7537

National Provider Directory

National Provider Directory

Locations

888 Sim Hodgin Pkwy
Ste C
Richmond, IN 47374
Phone (765) 966-7537

Practitioners & affiliated clinicians

Practitioners 1

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": "1309046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309046400000",
    "number": "1356637557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 SIM HODGIN PKWY",
            "address_2": "SUITE C",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741936",
            "telephone_number": "765-966-7537",
            "fax_number": "765-966-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ORAL SURGERY ASSOCIATES ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-26",
        "last_updated": "2011-06-26",
        "status": "A",
        "authorized_official_last_name": "PAPADOPOULOS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "765-966-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010966A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2011; 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.