Reconstructive Oral and Maxillofacial Surgery PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA

Practice address

2601 W Trenton Rd
Edinburg, TX 78539-3432

Phone

(956) 664-1695

Fax

(956) 664-1798

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Francisco M Perez, DMD MSDNPI 1851381214

Title

Doctor Co Owner

Phone

(956) 664-1695

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Francisco M Perez, DMD MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1851381214
  NPD (past) Authorized official
• Cesar Trevino, D.D.S

  • Oral and Maxillofacial Pathology Dentistry
  • Laredo, TX
  • NPI 1811027428
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1629067657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-664-1695",
            "fax_number": "956-664-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393432",
            "telephone_number": "956-664-1695",
            "fax_number": "956-664-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE ORAL AND MAXILLOFACIAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR CO OWNER",
        "authorized_official_telephone_number": "956-664-1695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD  MSD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164024502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164024501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne York Raymond, LMSW-IPR, M.ED.
• Sandra O Raymond
• RCP Industries, LLC
• Readmission Control, LLC
• Dan W Reagan, LPC
• Recuerdos Adult Day Care, LLC
• Red Square Dental
• Red Square Dental & Orthodontics at Closner PLLC
• Red Square Orthodontics
• Vangala J Reddy, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Edinburg, TX
• Providers in Edinburg, 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 Aug 21, 2008; 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.