Active NPI
Highland Hospital Oral and Maxillofacial Surgery
- General Acute Care Hospital
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 64337
- Legal business name
- HIGHLAND HOSPITAL ORAL AND MAXILLOFACIAL SURGERY
- Practice address
- 1411 E 31St St
Oakland, CA 94602-1018 - Phone
- (510) 437-8525
- NPI assigned
- Oct 13, 2015
- Last updated
- Oct 13, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Ely, DDS
- Title
- Resident
- Phone
- (510) 437-8525
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 64337 | CA | Primary |
Addresses
Primary practice location
1411 E 31St St
Oakland, CA 94602-1018
Mailing address
1411 E 31St St
Oral Surgery Clinic #E2
Oakland, CA 94602-1018
Phone (510) 437-8525
National Provider Directory
National Provider DirectoryLocations
1411 E 31st St
#E2
Oakland, CA 94602
Phone (510) 437-4101
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Oral and Maxillofacial Surgery (Dentist)
- Oakland, CA
- NPI 1528430121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444694400000",
"number": "1578934774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"address_2": "ORAL SURGERY CLINIC #E2",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-437-8525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 E 31ST ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946021018",
"telephone_number": "510-437-8525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND HOSPITAL ORAL AND MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A",
"authorized_official_last_name": "ELY",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "RESIDENT",
"authorized_official_telephone_number": "510-437-8525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "64337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.