NPIMap

Organization Active NPI

Medel Practice Management

  • Oral and Maxillofacial Surgery (Dentist)
  • Corsicana, TX
National Provider Identifier
1407324288
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MEDEL PRACTICE MANAGEMENT
Practice address
729 W 2ND Ave
Corsicana, TX 75110-2942
Phone
(903) 292-5115
NPI assigned
Nov 9, 2018
Organization subpart
Yes
Parent organization
NICHOLAS A MEDEL DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Dr. Nicholas Medel, D.D.S., M.D.NPI 1962631929
Title
President
Phone
(903) 292-5115

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 Primary

Addresses

Primary practice location

729 W 2ND Ave
Corsicana, TX 75110-2942

Mailing address

729 W 2ND Ave
Corsicana, TX 75110-2942
Phone (903) 872-6685

Other names 1

  • Corsicana Oral & Facial Surgery Doing business as

National Provider Directory

National Provider Directory
Part of
Nicholas a Medel DDS PC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 2

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": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1407324288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102942",
            "telephone_number": "903-872-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102942",
            "telephone_number": "903-292-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEL PRACTICE MANAGEMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHOLAS A MEDEL DDS PC",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "MEDEL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-292-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "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": "Corsicana Oral & Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corsicana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.