Central Arkansas Oral & Maxillofacial Surgery PA

Primary specialty

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

License

LICENSE 3108 SPEC 54 Issued in AR

Legal business name

CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA

Doing business as

Jeff H Byram DDS

Practice address

408 W Vine Ave
Searcy, AR 72143-4141

Phone

(501) 268-7000

Fax

(501) 279-3606

NPI assigned

Aug 29, 2006

Last updated

Jan 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeff H Byram, DDSNPI 1245418292

Title

President

Phone

(501) 268-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeff H Byram DDS Doing business as

Locations

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.

• Jeff H Byram, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Searcy, AR
  • NPI 1245418292
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1407965106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WEST VINE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-268-7000",
            "fax_number": "501-279-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W VINE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434141",
            "telephone_number": "501-268-7000",
            "fax_number": "501-279-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS ORAL & MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "BYRAM",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-268-7000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AR",
            "license": "LICENSE 3108 SPEC 54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128014679",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff H Byram DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rene Casey, PA-C
• Justin Casper, DO
• Mikala Castleberry, PD
• Cecil Watts, O.D. (Watts Optical Eyecare)
• Center Ambulatory Surgery Center, LLC
• Central Arkansas Physician Group PLLC
• Central Dental Searcy, PLLC
• Kristie Cervantes
• Marni Chagala
• Lindsey Chambliss, PLMSW

• Oral & Maxillofacial Surgery (D.M.D.) in Searcy, AR
• Providers in Searcy, AR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.