Oakland Oral Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

JM16423 Issued in MI

Legal business name

OAKLAND ORAL SURGERY ASSOCIATES

Practice address

31646 Schoolcraft Rd
Livonia, MI 48150-1819

Phone

(734) 427-3366

Fax

(734) 427-0407

NPI assigned

Feb 25, 2009

Last updated

Feb 25, 2009By 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

Dr. Jack F Moores, DDS

Title

Oral and Maxillofacial Surgeon

Phone

(734) 427-3366

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Oakland Oral Surgery Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Oakland Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Sterling Heights, MI
  • NPI 1033299052
  NPD tax ID
• Oakland Oral Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Novi, MI
  • NPI 1437399870
  NPD tax ID

Locations

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1710127188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31646 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501819",
            "telephone_number": "734-427-3366",
            "fax_number": "734-427-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31646 SCHOOLCRAFT RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501819",
            "telephone_number": "734-427-3366",
            "fax_number": "734-427-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "MOORES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "734-427-3366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": "JM16423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "P13950001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "P13950004",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "P13950003",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "0P13950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn O'Kelley, BS
• Thomas A. O'Neil, M.D.
• Kelly O'Neill
• Oakland Behavioral Medicine PLLC
• Oakland Home Health Care Inc
• Oakland Psychological Clinic, P.C.
• Katelyn Oakley
• Oakwood Ambulatory LLC
• Oakwood Ambulatory LLC
• Zoey Oatis

• Oral and Maxillofacial Surgery (Dentist) in Livonia, MI
• Providers in Livonia, MI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; 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.