Organization Active NPI

The Facial Surgery Center, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mt Pleasant, PA
National Provider Identifier
1871764860
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS021856 Issued in PA
Legal business name
THE FACIAL SURGERY CENTER, L.L.C.
Practice address
6545 Route 819 Ste 100
Mt Pleasant, PA 15666-2665
Phone
(724) 547-0999
Fax
(724) 547-5345
NPI assigned
Mar 18, 2008
Last updated
Jul 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Edward John Halusic, D.M.D.NPI 1922011105
Title
Owner/Oral, Maxillofacial Surgeon
Phone
(724) 547-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS021856 PA Primary

Addresses

Primary practice location

6545 Route 819 Ste 100
Mt Pleasant, PA 15666-2665

Mailing address

6545 Route 819 Ste 100
Mt Pleasant, PA 15666-2665
Phone (724) 547-0999

Other identifiers 1

IdentifierTypeStateIssuer
044331OtherPAHIGHMARK BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
The Facial Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

19 S Spring Ave
Greensburg, PA 15601
Phone (724) 836-1060

6545 Route 819
Ste 100
Mt Pleasant, PA 15666
Phone (724) 547-0999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1871764860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 ROUTE 819 STE 100",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662665",
            "telephone_number": "724-547-0999",
            "fax_number": "724-547-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 ROUTE 819 STE 100",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662665",
            "telephone_number": "724-547-0999",
            "fax_number": "724-547-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FACIAL SURGERY CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "HALUSIC",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ORAL, MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "724-547-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS021856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "044331",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.