Oral & Maxillofacial Surgery of Phoenix

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8403 Issued in AZ

Legal business name

ORAL & MAXILLOFACIAL SURGERY OF PHOENIX

Practice address

5410 N Scottsdale Rd Ste B100
Paradise Valley, AZ 85253-5907

Phone

(480) 745-2430

NPI assigned

Nov 11, 2013

Last updated

Nov 11, 2013By 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

Nicolas Bebeau, MD, DDSNPI 1124227475

Title

Managing Manager

Phone

(480) 745-2430

Specialties & licenses 1

Addresses

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.

• Nicolas P. Bebeau, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Paradise Valley, AZ
  • NPI 1124227475
  NPD (past) Authorized official

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384128000000",
    "number": "1922437920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE B100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535907",
            "telephone_number": "480-745-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 N SCOTTSDALE RD STE B100",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852535907",
            "telephone_number": "480-745-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY OF PHOENIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-11",
        "last_updated": "2013-11-11",
        "status": "A",
        "authorized_official_last_name": "BEBEAU",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MANAGING MANAGER",
        "authorized_official_telephone_number": "480-745-2430",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "8403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trupti K Patel, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Paradise Valley, AZ
• Providers in Paradise Valley, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; 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.