NPIMap

Organization Active NPI

Oral and Facial Surgery Institute PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1861971236
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30279 Issued in TX
Legal business name
ORAL AND FACIAL SURGERY INSTITUTE PA
Doing business as
Oral and Facial Surgery Institute of Houston
Practice address
6560 Fannin St Ste 1522
Houston, TX 77030
Phone
(713) 790-6477
Fax
(713) 790-6416
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Gina Casu
Title
Credentialing Manager
Phone
(713) 790-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 30279 TX Primary

Addresses

Primary practice location

6560 Fannin St Ste 1522
Houston, TX 77030

Mailing address

6560 Fannin St Ste 1522
Houston, TX 77030-2705
Phone (713) 790-6477

Other identifiers 1

IdentifierTypeStateIssuer
3376857MedicaidTX

Other names 1

  • Oral and Facial Surgery Institute of Houston Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1861971236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1522",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302705",
            "telephone_number": "713-790-6477",
            "fax_number": "713-790-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST STE 1522",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-790-6477",
            "fax_number": "713-790-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGERY INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "CASU",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "713-790-6477"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376857",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Facial Surgery Institute of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.