Active NPI
Tuscarawas Oral & Maxillofacial Surgery, Inc.
- Oral & Maxillofacial Surgery (D.M.D.)
- New Philadelphia, OH
National Provider Identifier
1447227301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. C. Randall Doan, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | OH | ||
| Oral & Maxillofacial Surgery (D.M.D.) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0882086 | Medicaid | OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- New Philadelphia, OH
- NPI 1598731697
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- New Philadelphia, OH
- NPI 1750574166
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.