NPIMap

Organization Active NPI

Capital Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Pflugerville, TX
National Provider Identifier
1831324540
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
19812 Issued in TX
Legal business name
CAPITAL ORAL AND MAXILLOFACIAL SURGERY
Practice address
15901 Central Commerce Dr Ste 601
Pflugerville, TX 78660-2047
Phone
(512) 989-7855
Fax
(512) 989-7859
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Marc Ryan Smith, DDSNPI 1194816520
Title
Owner
Phone
(512) 989-7855

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 19812 TX Primary

Addresses

Primary practice location

15901 Central Commerce Dr Ste 601
Pflugerville, TX 78660-2047

Mailing address

15901 Central Commerce Dr Ste 601
Pflugerville, TX 78660-2047
Phone (512) 989-7855

National Provider Directory

National Provider Directory

Locations

15901 Central Commerce Dr
Ste 601
Pflugerville, TX 78660
Phone (512) 989-7855

Practitioners & affiliated clinicians

Practitioners 1

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": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1831324540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15901 CENTRAL COMMERCE DR STE 601",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602047",
            "telephone_number": "512-989-7855",
            "fax_number": "512-989-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15901 CENTRAL COMMERCE DR STE 601",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602047",
            "telephone_number": "512-989-7855",
            "fax_number": "512-989-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-989-7855",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

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