NPIMap

Organization Active NPI

Texas Oral Surgery Group, LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Plano, TX
National Provider Identifier
1497078539
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
16343 Issued in TX
Legal business name
TEXAS ORAL SURGERY GROUP, LLP
Practice address
3713 W 15TH St
Suite 403
Plano, TX 75075-7754
Phone
(972) 596-9242
Fax
(972) 612-0787
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Kari Shutler
Title
Office Manager
Phone
(972) 596-9242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 16343 TX Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 11860 TX
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 11521 TX

Addresses

Primary practice location

3713 W 15TH St
Suite 403
Plano, TX 75075-7754

Mailing address

3713 W 15TH St
Suite 403
Plano, TX 75075-7754
Phone (972) 596-9242

National Provider Directory

National Provider Directory

Locations

1305 S FM 51
Ste 100
Decatur, TX 76234

2711 Shoreline Dr
#131
Denton, TX 76210

821 E Broadway St
Gainesville, TX 76240
Phone (940) 665-1982

3713 W 15th St
Ste 403
Plano, TX 75075
Phone (972) 596-7474

Practitioners & affiliated clinicians

Practitioners 4

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": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1497078539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 W 15TH ST",
            "address_2": "SUITE 403",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757754",
            "telephone_number": "972-596-9242",
            "fax_number": "972-612-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 W 15TH ST",
            "address_2": "SUITE 403",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757754",
            "telephone_number": "972-596-9242",
            "fax_number": "972-612-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS ORAL SURGERY GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "SHUTLER",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-596-9242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "16343",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11860",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.