Texas Oral and Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18986 Issued in TX

Legal business name

TEXAS ORAL AND FACIAL SURGERY

Practice address

810 S Mason Rd
Suite 301
Katy, TX 77450-3895

Phone

(281) 395-1200

Fax

(281) 395-1201

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Raymond L Wiggins, D.D.S., M.D.NPI 1942297510

Title

Dr

Phone

(281) 395-1200

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

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

• Raymond L Wiggins, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Katy, TX
  • NPI 1942297510
  NPD (past) Authorized official

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1477540052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "SUITE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503895",
            "telephone_number": "281-395-1200",
            "fax_number": "281-395-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S MASON RD",
            "address_2": "SUITE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503895",
            "telephone_number": "281-395-1200",
            "fax_number": "281-395-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "281-395-1200",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER",
            "identifier": "88D134",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DBP",
            "identifier": "164989",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSURANCE",
            "identifier": "51107",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "509663782",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHA",
            "identifier": "51107",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Katy, TX
• Providers in Katy, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.