Oral & Maxillofacial Surgery Specialists, PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, PA

Doing business as

OMS Specialists

Practice address

1595 2ND Ave NE Ste 120
Cambridge, MN 55008-8071

Phone

(763) 757-2220

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Kirby Charles Johnson, DDS

Title

President

Phone

(612) 788-9246

Specialties & licenses 1

Addresses

Other names 1

• OMS Specialists Doing business as

Locations

Practitioners 4

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

• Paul Michael Thorsen Buck, D.D.S., M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Brighton, MN
  • NPI 1992063093

  Oral and Maxillofacial Surgery

  NPD (past)
• Andrew Quentin Madson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edina, MN
  • NPI 1376790543
  NPD (past)
• Tyler John Varhol, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • New Brighton, MN
  • NPI 1003203498
  NPD (past)
• Francisco Saguil Perez, M.D.

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1841262763
  NPD (past)

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1508160060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 COUNTY ROAD D",
            "address_2": "SUITE 12",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "55112",
            "telephone_number": "651-259-9902",
            "fax_number": "651-259-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 2ND AVE NE STE 120",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550088071",
            "telephone_number": "763-757-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIRBY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-788-9246",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMS Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Renee Olson
• James C Olson, DO
• Jennifer Olson, RPT
• Gary Oltmanns, RPT
• Kenneth Omundson, RPT
• Ryan John Oster, DC
• Cassiah Overton
• Courtney L Pace
• Erika Danielle Palmquist
• Julia Paris, LICSW

• Oral and Maxillofacial Surgery (Dentist) in Cambridge, MN
• Providers in Cambridge, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.