Organization Active NPI

Santa Fe Oral and Facial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Santa Fe, NM
National Provider Identifier
1821583469
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
SANTA FE ORAL AND FACIAL SURGERY
Practice address
1700 Hospital Dr
Santa Fe, NM 87505-4763
Phone
(505) 988-2121
NPI assigned
Jun 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Authorized official

Name
Brett SchowNPI 1205062858
Title
Owner
Phone
(505) 988-2121

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 MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

1700 Hospital Dr
Santa Fe, NM 87505-4763

Mailing address

1700 Hospital Dr
Santa Fe, NM 87505-4763
Phone (505) 988-2121

Other names 1

  • Bonita Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

1700 Hospital Dr
Santa Fe, NM 87505
Phone (505) 988-2121

Practitioners & affiliated clinicians

Practitioners 3

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": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529971200000",
    "number": "1821583469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054763",
            "telephone_number": "505-988-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054763",
            "telephone_number": "505-988-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A",
        "authorized_official_last_name": "SCHOW",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-988-2121"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.