Organization Active NPI

Oral Surgery Centers of America, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
National Provider Identifier
1861267676
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL SURGERY CENTERS OF AMERICA, LLC
Practice address
7499 Dr ML King Jr St N
St Petersburg, FL 33702-5203
Phone
(727) 616-8862
Fax
(727) 362-4771
NPI assigned
Nov 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Michael Wayne Rowe, DDSNPI 1487808184
Title
Owner
Phone
(727) 327-7151

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 Primary

Addresses

Primary practice location

7499 Dr ML King Jr St N
St Petersburg, FL 33702-5203

Mailing address

5121 Ehrlich Rd Ste 110B
Tampa, FL 33624-2072
Phone (727) 616-8862

Other practice location 1

5121 Ehrlich Rd Ste 110
Tampa, FL 33624-2049
Phone (813) 923-1016

Other names 1

  • NA Other name

National Provider Directory

National Provider Directory

Locations

7499 Dr Ml King Jr St N
St Petersburg, FL 33702
Phone (727) 522-4690

5121 Ehrlich Rd
Ste 110
Tampa, FL 33624
Phone (813) 923-1016

5121 Ehrlich Rd
Ste 110B
Tampa, FL 33624

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": "1700524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1861267676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 EHRLICH RD STE 110B",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242072",
            "telephone_number": "727-616-8862",
            "fax_number": "727-362-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 DR ML KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337025203",
            "telephone_number": "727-616-8862",
            "fax_number": "727-362-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 Ehrlich Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336242049",
            "country_code": "US",
            "telephone_number": "813-923-1016",
            "fax_number": "727-362-4771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORAL SURGERY CENTERS OF AMERICA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-327-7151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.