Organization Active NPI

Oral-Facial Surgery Center Apc

  • Oral and Maxillofacial Surgery (Dentist)
  • Houma, LA
National Provider Identifier
1629267075
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
OC-07906 Issued in LA
Legal business name
ORAL-FACIAL SURGERY CENTER APC
Practice address
1608 Polk St
Houma, LA 70360-6011
Phone
(985) 879-1972
Fax
(985) 879-4661
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Christopher J. Saal, DDS, MDNPI 1134124712
Title
Owner
Phone
(985) 879-1972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X OC-07906 LA Primary

Addresses

Primary practice location

1608 Polk St
Houma, LA 70360-6011

Mailing address

1608 Polk St
Houma, LA 70360-6011
Phone (985) 879-1972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000724 LA Part B Supplier - Clinic/Group Practice 4284724873 Receives reassigned benefits from 3 practitioners
Practice locations: Thibodaux, LA; Houma, LA; Morgan City, LA

National Provider Directory

National Provider Directory

Locations

1608 Polk St
Houma, LA 70360
Phone (985) 879-1972

923 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 447-2671

Practitioners & affiliated clinicians

Practitioners 3

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1629267075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 POLK ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606011",
            "telephone_number": "985-879-1972",
            "fax_number": "985-879-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 POLK ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703606011",
            "telephone_number": "985-879-1972",
            "fax_number": "985-879-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL-FACIAL SURGERY CENTER APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SAAL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-879-1972",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "OC-07906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.