Austin Oral & Maxillofacial Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

AUSTIN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

Practice address

711 W 38TH St
Suite a-1
Austin, TX 78705-1121

Phone

(512) 454-1220

Fax

(512) 467-0363

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Janice Marie Ashton

Title

Managed Care Coordinator

Phone

(512) 454-1220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Ryan Weber, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Round Rock, TX
  • NPI 1720473515
  Medicare reassignment NPD
• Gregory N Burroughs, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Georgetown, TX
  • NPI 1386617835
  NPD (past)
• Sam B Fason, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1093788556
  NPD (past)
• Michael Robert Pace, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Grapevine, TX
  • NPI 1023437209
  NPD (past)
• Robert Lynn White, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1851364970
  NPD (past)
• Jeffrey Maris Dyke, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Decatur, GA
  • NPI 1659893071
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1508875147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-454-1220",
            "fax_number": "512-467-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-454-1220",
            "fax_number": "512-467-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ORAL & MAXILLOFACIAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "ASHTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGED CARE COORDINATOR",
        "authorized_official_telephone_number": "512-454-1220",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin OBGYN Associates PLLC
• Austin Ocular Prosthetics Center LLC
• Austin Oncall Em Physicians PLLC
• Austin Open MRI LP
• Austin Optometrists PLLC
• Austin Orthodontic Arts
• Austin Orthodontic Specialists
• Austin Osteopractic and Wellness PLLC
• Austin Otology Associates PA
• Austin Oxymed, LLC

• Oral and Maxillofacial Surgery (Dentist) in Austin, TX
• Providers in Austin, 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 Jan 14, 2010; 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.