B&J-Oms, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

B&J-OMS, LLC

Doing business as

Bird and Johnson Oral Surgery

Practice address

96 Willard St Ste 105
Cocoa, FL 32922-7945

Phone

(321) 291-5196

NPI assigned

Sep 27, 2024

Last updated

Sep 27, 2024By 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

Dr. Jay A Johnson, DDS

Title

Owner/Oral Surgeon

Phone

(321) 291-5196

Specialties & licenses 1

Addresses

Other names 1

• Bird and Johnson Oral Surgery Doing business as

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1831917970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WILLARD ST STE 105",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227945",
            "telephone_number": "321-291-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WILLARD ST STE 105",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227945",
            "telephone_number": "321-291-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&J-OMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "321-291-5196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bird and Johnson Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madiah Aslam, LCSW
• Rumyana Georgieva Atanasova, M.D.
• Michelle Freeman Auclair
• Melody Autry
• Avo T&L, LLC
• Inbal Bader
• Raymond C Baez, M.D.
• Zoila Isabel Baez, D.M.D.
• Brad A Bagwell, D.M.D., P.A.
• Odilie Bagwell, AU. D CCC-A

• Oral and Maxillofacial Surgery (Dentist) in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.