Organization Active NPI

San Antonio Oral & Maxillofacial Surgery Associates, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Castroville, TX
National Provider Identifier
1700017688
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.
Practice address
1014 Paris St Ste a
Castroville, TX 78009-2956
Phone
(830) 538-9800
Fax
(830) 538-9801
NPI assigned
Jul 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Dr. James B Mazock, D.D.S.
Title
Co-Owner
Phone
(830) 538-9800

Specialties & licenses 1

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

Addresses

Primary practice location

1014 Paris St Ste a
Castroville, TX 78009-2956

Mailing address

1014 Paris St Ste a
Castroville, TX 78009-2956
Phone (830) 538-9800

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Oral Maxillofacial Surgery Associates PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1700017688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 PARIS ST STE A",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780092956",
            "telephone_number": "830-538-9800",
            "fax_number": "830-538-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 PARIS ST STE A",
            "city": "CASTROVILLE",
            "state": "TX",
            "postal_code": "780092956",
            "telephone_number": "830-538-9800",
            "fax_number": "830-538-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-27",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "MAZOCK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "830-538-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castroville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.