Southwest Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DD1094 Issued in NM

Legal business name

SOUTHWEST ORAL & MAXILLOFACIAL SURGERY

Practice address

5900 Cubero Dr NE Ste a
Albuquerque, NM 87109-3879

Phone

(505) 797-3530

Fax

(505) 797-2155

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jerry L Jones, M.D.,D.D.S.NPI 1639169634

Title

Owner

Phone

(505) 797-3530

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry L Jones, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1639169634
  NPD (past) Authorized official
• Jeffrey Michael Hagen, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Albuquerque, NM
  • NPI 1578609921
  NPD (past)
• Scott Morgan, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Gatos, CA
  • NPI 1922495886
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1457527368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CUBERO DR NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093879",
            "telephone_number": "505-797-3530",
            "fax_number": "505-797-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-797-3530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "DD1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E1446",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Myotherapy
• Southwest Neuropsychology & Behavioral Health
• Southwest Neuropsychology and Behavioral Health, LLC
• Southwest Neurosurgical Associates PC
• Southwest Nutrition, LLC
• Southwest Oral and Maxillofacial Surgeons LLC
• Southwest Orthopaedic Physical Therapy LLC
• Southwest Podiatry Center PC
• Southwest Psychotherapy, Inc
• Southwest Pueblo Consultants & Counseling Services

• Oral and Maxillofacial Surgery (Dentist) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.