Organization Active NPI

West Shore Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mechanicsburg, PA
National Provider Identifier
1881487718
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
WEST SHORE ORAL SURGERY, PLLC
Practice address
200 Cumberland Pkwy
Mechanicsburg, PA 17055-5663
Phone
(717) 697-6020
NPI assigned
May 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 1

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

Addresses

Primary practice location

200 Cumberland Pkwy
Mechanicsburg, PA 17055-5663

Mailing address

200 Cumberland Pkwy
Mechanicsburg, PA 17055-5663
Phone (717) 697-6020

Other names 1

  • West Shore Oral Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

200 Cumberland Pkwy
Mechanicsburg, PA 17055
Phone (717) 591-6020

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1881487718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CUMBERLAND PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555663",
            "telephone_number": "717-697-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CUMBERLAND PKWY",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170555663",
            "telephone_number": "717-697-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SHORE ORAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "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": "West Shore Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.