Cascade Oral and Facial Surgery, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CASCADE ORAL AND FACIAL SURGERY, LLC

Doing business as

Cascade Oral and Facial Surgery

Practice address

16455 Boones Ferry Rd Ste B
Lake Oswego, OR 97035-4367

Phone

(503) 482-7200

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Phil Mann, DDS, MD

Title

Officer

Phone

(503) 482-7200

Specialties & licenses 1

Addresses

Other names 1

• Cascade Oral and Facial Surgery Doing business as

Practitioners 2

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.

• Peter Dennis, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Lake Oswego, OR
  • NPI 1770826224
  NPD
• Philip C Mann, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Lake Oswego, OR
  • NPI 1568605731

  Oral and Maxillofacial Surgery

  NPD

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1366157497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16455 BOONES FERRY RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 BOONES FERRY RD STE B",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970354367",
            "telephone_number": "503-482-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE ORAL AND FACIAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "503-482-7200",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascade Oral and Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carly K Christoferson DMD PC
• Jennifer Carnegie, R.N.
• Patrick Joseph Caroline, COT
• Kelsey Carroll
• Thomas G Carver, M.D.
• Cascade PA Associates, LLC
• Cascadia Hospice of Oregon LLC (Avencare Hospice)
• Cascasde Occupational Medicine Physicians Inc
• Jamie A Cassutt
• Gregory Cauble

• Oral and Maxillofacial Surgery (Dentist) in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.