Mountainview Oral & Maxillofacial Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

048526-1 Issued in NY

Legal business name

MOUNTAINVIEW ORAL & MAXILLOFACIAL SURGERY, P.C.

Practice address

535 Columbia Dr
Johnson City, NY 13790-3302

Phone

(607) 729-5900

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By 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. James Leonard Desantis, M.D., DDSNPI 1295898286

Title

Owner

Phone

(607) 729-5900

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• James Leonard Desantis, DDS & MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Johnson City, NY
  • NPI 1295898286
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1922278480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903302",
            "telephone_number": "607-729-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 COLUMBIA DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903302",
            "telephone_number": "607-729-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW ORAL & MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-729-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048526-1",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "230001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula A Moore, CNM
• Matthew James Moquin, RPH
• Chloe Mae Morgan
• William Morgan
• Sharon L Moss, MSW,LCSW
• Alden H Moy
• Patrick Mucilli, PT
• Shahid A Mughal, MD
• Fatima Muhovic, AGNP
• Jena Mullenax, NP

• Oral and Maxillofacial Surgery (Dentist) in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.