Oral and Maxillofacial Surgery Associates, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.

Practice address

105 E 1St St
Suite 103
Hinsdale, IL 60521-4249

Phone

(630) 789-8070

Fax

(630) 850-7537

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Carol Bonami

Title

Practice Manager

Phone

(630) 789-8070

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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

• Richard John Balcerak, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1619987922
  Medicare reassignment Care Compare group NPD
• Jeffrey K Collins, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1518074202
  Medicare reassignment Care Compare group NPD
• Alissa Nicole Pullos, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1043607872
  NPD
• Walter Berge Busse, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • South Holland, IL
  • NPI 1386748663
  NPD (past)
• Robert David Schwartz, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hinsdale, IL
  • NPI 1609983394
  NPD (past)
• Kingsley Lim Wang, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Woodland, CA
  • NPI 1790892487
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497808588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST",
            "address_2": "SUITE 103",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214249",
            "telephone_number": "630-789-8070",
            "fax_number": "630-850-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 1ST ST",
            "address_2": "SUITE 103",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214249",
            "telephone_number": "630-789-8070",
            "fax_number": "630-850-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONAMI",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "630-789-8070"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla D Olaguez, FNP-C
• Vini Teresa Oliyapurathu, MD
• Eileen Marie Olsen, OTR/LCHT
• Onlymed LLC
• Judith Ann Operchal, M.D.
• Andrea Christine Oren, DNP, AGPCNP
• Jacob Orin, DNP, PMHNP
• Ortho Spine Surgical LLC
• Zoheb Osman, DO
• Betty M Osterhout, MBA, OTR/L, CHT

• Oral and Maxillofacial Surgery (Dentist) in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.