Richmond Oral & Maxillofacial Surgery,LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12010961A Issued in IN

Legal business name

RICHMOND ORAL & MAXILLOFACIAL SURGERY,LLC

Practice address

1004 Oak Dr
Richmond, IN 47374-1916

Phone

(765) 935-1997

Fax

(765) 939-2861

NPI assigned

Apr 23, 2014

Last updated

Apr 23, 2014By 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

Mrs. Wendy S Beard

Title

Office Manager

Phone

(317) 841-1100

Specialties & licenses 3

Addresses

Other identifiers 1

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 Robert Hall, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
  • NPI 1588656128
  NPD (past)
• James Ellsworth Hornaday, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Richmond, IN
  • NPI 1912929753
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1790105203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 OAK DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741916",
            "telephone_number": "765-935-1997",
            "fax_number": "765-939-2861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 OAK DR",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741916",
            "telephone_number": "765-935-1997",
            "fax_number": "765-939-2861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND ORAL & MAXILLOFACIAL SURGERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-841-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010961A",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12010160A",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12011603A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richmond Community Schools
• Richmond Dental Care LLC
• Richmond Endodontics LLC
• Richmond Family Care Center, P.C.
• Richmond Foot and Ankle Inc
• Richmond Oral Surgery Associates Acquisition, LLC
• Richmond Oral Surgery Associates, Inc.
• Richmond Podiatry, P.C.
• Richmond Radiologists, Inc.
• Richmond Shoe Company LLC

• Oral and Maxillofacial Surgery (Dentist) in Richmond, IN
• Providers in Richmond, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.