NPIMap

Organization Active NPI

Ozark Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
National Provider Identifier
1588775449
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OZARK ORAL & MAXILLOFACIAL SURGERY, PA
Practice address
591 Horsebarn Rd #100
Rogers, AR 72758-8760
Phone
(479) 636-3979
Fax
(479) 636-0800
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Dr. Robert H Lewis Jr., DDSNPI 1487765350
Title
Owner/Surgeon
Phone
(479) 636-3979

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

591 Horsebarn Rd #100
Rogers, AR 72758-8760

Mailing address

591 Horsebarn Rd #100
Rogers, AR 72758-8760
Phone (479) 636-3979

Other identifiers 1

IdentifierTypeStateIssuer
5B530OtherARBCBS

National Provider Directory

National Provider Directory

Locations

591 S Horsebarn Rd
Ste 100
Rogers, AR 72758
Phone (479) 636-3779

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1588775449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 HORSEBARN RD #100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588760",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 HORSEBARN RD #100",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588760",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK ORAL & MAXILLOFACIAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "479-636-3979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5B530",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.