Craniofacial, Reconstructive and Cosmetic Surgery Associates, LLC

Primary specialty

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

License

ME114524 Issued in FL

Legal business name

CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC

Practice address

6705 SW 57TH Ave Ste 510
South Miami, FL 33143-3644

Phone

(786) 471-4299

NPI assigned

Jan 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stone R Thayer, DMD, MD

Title

President

Phone

(786) 471-4299

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422057600000",
    "number": "1447673173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 ISLA DE PALMA CIR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 SW 57TH AVE STE 510",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433644",
            "telephone_number": "786-471-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL, RECONSTRUCTIVE AND COSMETIC SURGERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2015-01-24",
        "status": "A",
        "authorized_official_last_name": "THAYER",
        "authorized_official_first_name": "STONE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-471-4299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME114524",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME114524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan Miguel Cortada
• Liudmila Corzo Rosales, MD
• Victor Courinos Nascimento Da Silva, MD
• Doris Crabtree, LMHC
• Cranial Technologies Inc
• Lauren E Crocco, MD
• Kristen Johanna Crooks, APRN
• Angela Crowley, MT
• Barry Michael Crown, PH.D.
• Alexandra Maria Cruz, DO

• Oral & Maxillofacial Surgery (D.M.D.) in South Miami, FL
• Providers in South Miami, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2015; 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.