Red River Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

RED RIVER ORAL SURGERY

Practice address

4616 Highway 75
Suite 201
Denison, TX 75020

Phone

(713) 899-5218

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Charles Hornberger, DDSNPI 1619243482

Title

Member

Phone

(713) 899-5218

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Charles Hornberger, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Denison, TX
  • NPI 1619243482
  NPD Authorized official

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1770134876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 US HWY 75 # 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204582",
            "telephone_number": "903-416-8585",
            "fax_number": "903-416-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 HIGHWAY 75",
            "address_2": "SUITE 201",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "713-899-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A",
        "authorized_official_last_name": "HORNBERGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-899-5218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Lynn Rainey, M.S., CCC-SLP
• Isabell Renee Rainville, SLPA
• Ravi Physicians PLLC
• Susan Rawlins, RNC, WHNP
• Red River Medical Services
• Srinivasa A Reddy, MD
• Jennifer Reed, MS CCC-SLP
• Benjamin Joel Reeder, PTA
• Rachelle Reeder, PTA
• Jessica Reese, FNP

• Oral and Maxillofacial Surgery (Dentist) in Denison, TX
• Providers in Denison, 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 4, 2020; 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.