Organization Active NPI

Tuscarawas Oral & Maxillofacial Surgery, Inc.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Philadelphia, OH
National Provider Identifier
1447227301
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY, INC.
Practice address
1456 Kaderly St NW
New Philadelphia, OH 44663-1243
Phone
(330) 364-8665
Fax
(330) 364-8667
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. C. Randall Doan, DDSNPI 1598731697
Title
President
Phone
(330) 364-8665

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X OH
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X OH Primary

Addresses

Primary practice location

1456 Kaderly St NW
New Philadelphia, OH 44663-1243

Mailing address

1456 Kaderly St NW
New Philadelphia, OH 44663-1243
Phone (330) 364-8665

Other identifiers 1

IdentifierTypeStateIssuer
0882086MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1447227301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665",
            "fax_number": "330-364-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 KADERLY ST NW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446631243",
            "telephone_number": "330-364-8665",
            "fax_number": "330-364-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "C. RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-364-8665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882086",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.