Oral and Craniofacial Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

18868 Issued in TX

Legal business name

ORAL AND CRANIOFACIAL CENTER

Practice address

2405 Cornerstone Blvd
Edinburg, TX 78539

Phone

(956) 627-3556

Fax

(956) 627-3762

NPI assigned

Sep 14, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lizette Zapata

Title

Office Manager

Phone

(956) 627-3556

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

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.

• Carlos Cruz, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1639172109
  Medicare reassignment NPD
• Wilmer Paul Orjuela, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Edinburg, TX
  • NPI 1104173087
  Medicare reassignment NPD
• Jose Miguel Garcia Loera, DDS

  • Prosthodontics
  • Rio Grande City, TX
  • NPI 1912376872
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1750699682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-627-3556",
            "fax_number": "956-627-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 CORNERSTONE BLVD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-627-3556",
            "fax_number": "956-627-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND CRANIOFACIAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "ZAPATA",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-627-3556",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "18868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHSCN",
            "identifier": "218275003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218275002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DENTAL TPI",
            "identifier": "218275002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariela Ontiveros
• Miriam Ontiveros, LPC
• Ontrack Behavioral, PLLC
• Sony Oommen, RPH
• Opengates Urgent Care LLC
• Oral and Maxillofacial Surgery of South Texas, P.a.
• Kevin Orellana
• Gerardo Athanasi Orfanos, DDS
• Gerardo Athanasi Orfanos, M.D.
• Saulina Rosario Orizaga, FNP

• Oral and Maxillofacial Surgery (Dentist) in Edinburg, TX
• Providers in Edinburg, 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 Nov 19, 2011; 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.