NPIMap

Organization Active NPI

Stamford Oral and Maxillofacial Surgical Arts LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Stamford, CT
National Provider Identifier
1720520976
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
009711 Issued in CT
Legal business name
STAMFORD ORAL AND MAXILLOFACIAL SURGICAL ARTS LLC
Practice address
27 Bridge St
Stamford, CT 06905-4501
Phone
(203) 325-2661
NPI assigned
Nov 4, 2016
Last updated
Nov 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Dr. Naushad EdibamNPI 1982802294
Title
Member
Phone
(203) 325-2661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 009711 CT Primary

Addresses

Primary practice location

27 Bridge St
Stamford, CT 06905-4501

Mailing address

27 Bridge St
Stamford, CT 06905-4501
Phone (203) 325-2661

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1720520976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 BRIDGE ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054501",
            "telephone_number": "203-325-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BRIDGE ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069054501",
            "telephone_number": "203-325-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAMFORD ORAL AND MAXILLOFACIAL SURGICAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "EDIBAM",
        "authorized_official_first_name": "NAUSHAD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-325-2661",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "009711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.