Shelby Oral Facial Surgery PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SHELBY ORAL FACIAL SURGERY PC

Practice address

420 1St St N
Alabaster, AL 35007-8707

Phone

(205) 208-0167

Fax

(800) 244-8132

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Ryan LivingstonNPI 1346459278

Title

Member

Phone

(205) 208-0167

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 enrollments

Enrollment records 2

Tax ID family

Shelby Oral Facial Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shelby Oral Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1447643523
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Ryan Livingston, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Alabaster, AL
  • NPI 1346459278

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• David W Davis, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Anniston, AL
  • NPI 1104168244

  Oral & Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Joshua Edward Everts, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Alabaster, AL
  • NPI 1427266345
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1366701450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078707",
            "telephone_number": "205-208-0167",
            "fax_number": "800-244-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078707",
            "telephone_number": "205-208-0167",
            "fax_number": "800-244-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY ORAL FACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "205-208-0167",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Ear Nose and Throat PC, Associates
• Shelby Family Chiropractic LLC
• Shelby Family Eye Care, LLC
• Shelby Family Foot Clinic
• Shelby Family Foot Clinic
• Shelby Plastic Surgery Skin Cancer and Laser Surgery Center P.C.
• Shelby Psychiatry
• Shelby Ridge Acquisition Corporation
• Shelby-Chilton Hematology and Oncology LLC
• Rex Alan Sherer, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Alabaster, AL
• Providers in Alabaster, AL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.