NPIMap

Organization Active NPI

Victoria Oral & Maxillofacial Surgery Associates Inc,

  • Oral and Maxillofacial Surgery (Dentist)
  • Victoria, TX
National Provider Identifier
1417002171
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17693 Issued in TX
Legal business name
VICTORIA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC,
Practice address
111 Professional Park Dr
Victoria, TX 77904-2351
Phone
(361) 578-0247
NPI assigned
Jan 24, 2007
Last updated
Mar 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Thomas Barton Carter, DDS,MS
Title
Oral and Maxillofacial Surgeon
Phone
(361) 578-0247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17693 TX Primary

Addresses

Primary practice location

111 Professional Park Dr
Victoria, TX 77904-2351

Mailing address

111 Professional Park Dr
Victoria, TX 77904-2351
Phone (361) 578-0247

National Provider Directory

National Provider Directory

Locations

111 Professional Park Dr
Victoria, TX 77904
Phone (361) 578-0247

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1417002171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-578-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PROFESSIONAL PARK DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042351",
            "telephone_number": "361-578-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "361-578-0247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "17693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.