Active NPI
Corpus Christi Oral and Maxillofacial Surgeons PC
- Oral and Maxillofacial Surgery (Dentist)
- Corpus Christi, TX
National Provider Identifier
1669416475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC
- Practice address
- 5756 S Staples St F
Corpus Christi, TX 78413-3796 - Phone
- (361) 993-2290
- Fax
- (361) 992-4961
- NPI assigned
- Jun 15, 2006
- 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
- Debra Hendricks
- Title
- Insurance Clerk
- Phone
- (361) 993-2290
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
5756 S Staples St F
Corpus Christi, TX 78413-3796
Mailing address
5756 S Staples St
Corpus Christi, TX 78413-3796
Phone (361) 993-2290
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0811788-01 | Medicaid | TX | |
| G60013-1 | Other | TX | DELTA TX CHIPS |
| 0098105-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
5756 S Staples St
Ste F
Corpus Christi, TX 78413
Phone (361) 993-2290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Corpus Christi, TX
- NPI 1245239755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357776000000",
"number": "1669416475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5756 S STAPLES ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133796",
"telephone_number": "361-993-2290",
"fax_number": "361-992-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5756 S STAPLES ST F",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784133796",
"telephone_number": "361-993-2290",
"fax_number": "361-992-4961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORPUS CHRISTI ORAL AND MAXILLOFACIAL SURGEONS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2013-01-10",
"status": "A",
"authorized_official_last_name": "HENDRICKS",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "INSURANCE CLERK",
"authorized_official_telephone_number": "361-993-2290"
},
"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": "0811788-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA TX CHIPS",
"identifier": "G60013-1",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0098105-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
- Corpus Christi Mobility LLC. (Mobility Plus)
- Corpus Christi MRI (Coastal Imaging)
- Corpus Christi Neurology
- Corpus Christi Neurostar, LLC
- Corpus Christi Obstetric Anesthesia Associates
- Corpus Christi Orthodontic Specialists LP
- Corpus Christi Pain Medicine
- Corpus Christi Pain Medicine, P.a.
- Corpus Christi Pediatrics Clinic
- Corpus Christi Physical Therapy and Sports Medicine Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.