Organization Active NPI

Oms Physicians Group PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Southlake, TX
National Provider Identifier
1770711392
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OMS PHYSICIANS GROUP PLLC
Practice address
1422 Main St
Suite 240
Southlake, TX 76092-7625
Phone
(817) 424-1166
NPI assigned
Jun 23, 2009
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Gregory David Taylor, DDS, M.D.NPI 1851358956
Title
Owner
Phone
(817) 424-1166

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 (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1422 Main St
Suite 240
Southlake, TX 76092-7625

Mailing address

1422 Main St
Suite 240
Southlake, TX 76092-7625
Phone (817) 424-1166

Other identifiers 1

IdentifierTypeStateIssuer
H87528OtherTXUPIN

National Provider Directory

National Provider Directory

Locations

1422 Main St
Ste 240
Southlake, TX 76092
Phone (817) 424-1166

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1770711392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 MAIN ST",
            "address_2": "SUITE 240",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927625",
            "telephone_number": "817-424-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 MAIN ST",
            "address_2": "SUITE 240",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760927625",
            "telephone_number": "817-424-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS PHYSICIANS GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-424-1166",
        "authorized_official_credential": "DDS, M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H87528",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.