Organization Active NPI

Indiana Oral and Facial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • New Albany, IN
National Provider Identifier
1932999877
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
INDIANA ORAL AND FACIAL SURGERY LLC
Practice address
5120 Charlestown Rd Ste 1
New Albany, IN 47150-9497
Phone
(812) 944-4000
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Jackie Holloway
Title
Director of RCM
Phone
(854) 200-7970

Specialties & licenses 1

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

Addresses

Primary practice location

5120 Charlestown Rd Ste 1
New Albany, IN 47150-9497

Mailing address

3700 Ingleside Blvd
Ladson, SC 29456-4141

Other practice location 1

1283 Hillview Dr
Corydon, IN 47112-2226
Phone (812) 944-4000

Other names 1

  • James K Homrighausen MD Former legal business name

National Provider Directory

National Provider Directory

Locations

1283 Hillview Dr
Corydon, IN 47112
Phone (812) 734-0125

5120 Charlestown Rd
Ste 1
New Albany, IN 47150
Phone (712) 944-4000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1932999877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 INGLESIDE BLVD",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CHARLESTOWN RD STE 1",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509497",
            "telephone_number": "812-944-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1283 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122226",
            "country_code": "US",
            "telephone_number": "812-944-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIANA ORAL AND FACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR OF RCM",
        "authorized_official_telephone_number": "854-200-7970"
    },
    "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": "James K Homrighausen MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.