Organization Active NPI

West Texas Oral Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Lubbock, TX
National Provider Identifier
1790036150
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WEST TEXAS ORAL FACIAL SURGERY
Practice address
7515 Quaker Ave
Suite 200
Lubbock, TX 79424
Phone
(806) 792-6291
Fax
(806) 792-6329
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Mrs. Glee Britt
Title
Practice Administrator
Phone
(806) 792-6291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X TX Primary

Addresses

Primary practice location

7515 Quaker Ave
Suite 200
Lubbock, TX 79424

Mailing address

7515 Quaker Ave
Suite 200
Lubbock, TX 79424
Phone (806) 792-6291

National Provider Directory

National Provider Directory

Locations

7515 Quaker Ave
Ste 200
Lubbock, TX 79424
Phone (806) 792-6291

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1790036150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-792-6291",
            "fax_number": "806-792-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-792-6291",
            "fax_number": "806-792-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS ORAL FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "BRITT",
        "authorized_official_first_name": "GLEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "806-792-6291",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.