Bedford Assoc in Oral&Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

24440 Issued in TX

Legal business name

BEDFORD ASSOC IN ORAL&MAXILLOFACIAL SURGERY

Practice address

2121 Central Dr Ste 1
Bedford, TX 76021-5885

Phone

(817) 283-5581

Fax

(817) 283-8650

NPI assigned

Apr 15, 2009

Last updated

Apr 15, 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. John P McPhillips, DDS, MDNPI 1548251531

Title

President

Phone

(817) 283-5581

Specialties & licenses 1

Addresses

Locations

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.

• John Patrick McPhillips, D.D.S., M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Bedford, TX
  • NPI 1548251531
  NPD (past) Authorized official
• Nima Deljavan, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bedford, TX
  • NPI 1306266143
  NPD (past)

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239753600000",
    "number": "1740423011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 CENTRAL DR STE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215885",
            "telephone_number": "817-283-5581",
            "fax_number": "817-283-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 CENTRAL DR STE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215885",
            "telephone_number": "817-283-5581",
            "fax_number": "817-283-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD ASSOC IN ORAL&MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A",
        "authorized_official_last_name": "MCPHILLIPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-283-5581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "24440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel M Baugh
• Mychelle Baxter
• Brandon J Bayles, PT, DPT
• Kassandra Mae Beach, PTA
• Beacon Behavioral of Texas PA (The Grant Group)
• Bedford Encore Adec LLC (Encore Memory Care Day Center)
• Bedford Endocrinology PLLC (Endocrine Associates of Mid-Cities)
• Bedford Eyecare, P.a. (First Eye Care Bedford)
• Bedford Family Medicine, PA
• Bedford Gardens Limited Partnership (Eden Estates)

• Oral and Maxillofacial Surgery (Dentist) in Bedford, TX
• Providers in Bedford, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

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