Widner Elite Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

WIDNER ELITE ORAL SURGERY

Doing business as

James S Widner DDS
Widner Elite Oral Surgery

Practice address

1500 W 38TH St Ste 51
Austin, TX 78731-6320

Phone

(512) 452-3223

Fax

(512) 452-5245

NPI assigned

Feb 13, 2025

Organization subpart

No

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

Authorized official

Name

Joyce Staples

Title

Billing Specialist

Phone

(512) 452-3223

Specialties & licenses 1

Addresses

Other names 2

• James S Widner DDS Doing business as
• Widner Elite Oral Surgery Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J. Steven Widner, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1801899711
  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1932904141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST STE 51",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316320",
            "telephone_number": "512-452-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W 38TH ST STE 51",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316320",
            "telephone_number": "512-452-3223",
            "fax_number": "512-452-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIDNER ELITE ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "512-452-3223"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James S Widner DDS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Widner Elite Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Rhodes Wickman, MD
• Pavithra Wickramage, D.O.
• Michelle Boone Widacki, R.PH.
• Oscar Widales-Benitez, PHD, LP
• Alana Amerie Wideman
• J. Steven Widner, D.D.S.
• Katherine Poff Wiechnicki, RN, CDCES
• Griffin Wiemelt, DPT
• John Rex Wier III, MD
• Savannah Wierenga, MS, RDN, LDN

• Oral and Maxillofacial Surgery Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.