North Alabama Oral and Facial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

25550 Issued in AL

Legal business name

NORTH ALABAMA ORAL AND FACIAL SURGERY LLC

Practice address

44 Hughes Rd
Madison, AL 35758-3045

Phone

(256) 774-3535

Fax

(256) 325-6145

NPI assigned

Apr 22, 2015

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason R Miller, DMD, MDNPI 1205804721

Title

Physician/Owner

Phone

(256) 265-4950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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.

• Jonathan Maxwell Chrisenberry Threadgill, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, GA
  • NPI 1093881021

  AL

  Medicare reassignment NPD
• Jason R Miller, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntsville, AL
  • NPI 1205804721
  Authorized official Same address or phone
• Lewis Crawford Jones, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Louisville, KY
  • NPI 1730382722
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1700273208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583045",
            "telephone_number": "256-774-3535",
            "fax_number": "256-325-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 HUGHES RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357583045",
            "telephone_number": "256-774-3535",
            "fax_number": "256-325-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ALABAMA ORAL AND FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "256-265-4950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "25550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Alabama Orthopedics Inc
• North Alabama Vascular Care LLC
• North Star Counseling Services, LLC
• Northline Processing LLC
• Christopher Nozum, PT, DPT

• Oral and Maxillofacial Surgery (Dentist) in Madison, AL
• Providers in Madison, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.