Oral Facial Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000014 Issued in TN

Legal business name

ORAL FACIAL SURGERY CENTER, LLC

Doing business as

Specialty Surgery Center
Tennessee Surgery Center

Practice address

410 42ND Ave N Ste 300
Nashville, TN 37209-3656

Phone

(615) 321-6161

Fax

(615) 645-9870

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chris Stirling

Title

Ceo

Phone

(615) 321-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Specialty Surgery Center Doing business as
• Tennessee Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Specialty Surgery CenterCCN 44C0001043

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Oral Facial Surgery Center2 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.

• Oral Facial Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
  • NPI 1023383874
  NPD tax ID

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1407824436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093656",
            "telephone_number": "615-321-6161",
            "fax_number": "615-645-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093656",
            "telephone_number": "615-321-6161",
            "fax_number": "615-645-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL FACIAL SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "STIRLING",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-321-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287451",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Specialty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tennessee Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Opulence Dynasty Medical Services PLLC
• Emeka Charles Oputa, M.D.
• Jailene Oquendo Rodriguez
• Oral & Facial Surgery Group PC
• Oral Facial Surgery Center
• Oral Surgical Institute, P.C. (Oral Surgical Institute- Nashville)
• Oral Surgical Institute, P.C. (Oral Surgery Institute - Nashville)
• Alexis A Orashen, MS
• Delaney Orcutt, MD
• Thomas W. Orcutt, MD

• Ambulatory Surgical Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.