Organization Active NPI

Anew Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • West Fargo, ND
National Provider Identifier
1386346187
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ANEW ORAL SURGERY PLLC
Practice address
1918 9TH St E Ste B
West Fargo, ND 58078-8004
Phone
(701) 707-3720
Fax
(701) 707-3727
NPI assigned
Mar 17, 2023
Last updated
Mar 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Authorized official

Name
Ms. Amy Lien
Title
Practice Manager
Phone
(701) 707-3720

Specialties & licenses 1

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

Addresses

Primary practice location

1918 9TH St E Ste B
West Fargo, ND 58078-8004

Mailing address

1918 9TH St E Ste B
West Fargo, ND 58078-8004
Phone (701) 707-3720

National Provider Directory

National Provider Directory

Locations

1918 9th St E
Ste B
West Fargo, ND 58078
Phone (701) 707-3720

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1386346187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 9TH ST E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788004",
            "telephone_number": "701-707-3720",
            "fax_number": "701-707-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 9TH ST E STE B",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788004",
            "telephone_number": "701-707-3720",
            "fax_number": "701-707-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A",
        "authorized_official_last_name": "LIEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "701-707-3720",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.