NRV Oral & Maxillofacial Surgery, LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NRV ORAL & MAXILLOFACIAL SURGERY, LTD

Doing business as

NRV Oral & Maxillofacial Surgery - Radford

Practice address

6061 Belspring Rd
Fairlawn, VA 24141-8567

Phone

(540) 633-5700

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

NRV ORAL & MAXILLOFACIAL SURGERY, LTDAs reported in NPPES

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

Authorized official

Name

Michaela Muniz

Title

VP, Payor Relations

Phone

(469) 324-3242

Specialties & licenses 2

Addresses

Other names 1

• NRV Oral & Maxillofacial Surgery - Radford Doing business as

Tax ID family

Gregg Howard LTD2 organizations share this tax ID, including this one

Part of

Gregg Howard LTD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• NRV Oral & Maxillofacial Surgery, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Blacksburg, VA
  • NPI 1013097195
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• NRV Oral & Maxillofacial Surgery, LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Blacksburg, VA
  • NPI 1013097195
  NPPES parent name

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1639073448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6061 BELSPRING RD",
            "city": "FAIRLAWN",
            "state": "VA",
            "postal_code": "241418567",
            "telephone_number": "540-633-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6061 BELSPRING RD",
            "city": "FAIRLAWN",
            "state": "VA",
            "postal_code": "241418567",
            "telephone_number": "540-633-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NRV ORAL & MAXILLOFACIAL SURGERY, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NRV ORAL & MAXILLOFACIAL SURGERY, LTD",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NRV Oral & Maxillofacial Surgery - Radford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Polaski County Board of Supervisors
• Benjamin Carroll Poovey
• Lisa Pugh, LPC

• Oral and Maxillofacial Surgery (Dentist) in Fairlawn, VA
• Providers in Fairlawn, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.