Organization Active NPI

Oral & Facial Surgery Group PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashville, TN
National Provider Identifier
1477635324
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ORAL & FACIAL SURGERY GROUP PC
Practice address
300 20TH Ave N Ste 606
Nashville, TN 37203-5606
Phone
(615) 284-5650
Fax
(615) 284-5653
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
John Robert WertherNPI 1912089871
Title
President
Phone
(615) 284-5650

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
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

300 20TH Ave N Ste 606
Nashville, TN 37203-5606

Mailing address

300 20TH Ave N Ste 606
Nashville, TN 37203-5606
Phone (615) 284-5650

Other identifiers 3

IdentifierTypeStateIssuer
1518204MedicaidTN
1912089871OtherINDIVIDUAL NPI ASSOCIATION
4043354OtherBCBS OF TN GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

300 20th Ave N
Ste 606
Nashville, TN 37203
Phone (615) 284-2550

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1477635324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 606",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035606",
            "telephone_number": "615-284-5650",
            "fax_number": "615-284-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 606",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372035606",
            "telephone_number": "615-284-5650",
            "fax_number": "615-284-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & FACIAL SURGERY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "WERTHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-284-5650"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518204",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI ASSOCIATION",
            "identifier": "1912089871",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN GROUP PROVIDER NUMBER",
            "identifier": "4043354",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.