Oral and Maxillofacial Surgery Associates, LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LTD

Practice address

1903 S 6TH St Ste 4
Brainerd, MN 56401-4599

Phone

(218) 829-1728

Fax

(218) 829-1729

NPI assigned

Oct 19, 2006

Last updated

Jan 8, 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

Mr. William R BakerNPI 1023098993

Title

President

Phone

(218) 829-1728

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 4

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.

• John S Foss, D.D.S, M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
  • NPI 1184604464
  Medicare reassignment Care Compare group NPD
• Fredrick A Menghini, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
  • NPI 1801876792
  Medicare reassignment Care Compare group NPD
• Nathan Anton Jarnot, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
  • NPI 1710274261
  Medicare reassignment NPD
• William R Baker IV, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Brainerd, MN
  • NPI 1023098993
  Authorized official Same address or phone

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1942382379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SOUTH SIXTH STREET SUITE 4",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-829-1728",
            "fax_number": "218-829-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S 6TH ST STE 4",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564014599",
            "telephone_number": "218-829-1728",
            "fax_number": "218-829-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-829-1728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Olson
• Darin Olson
• Heidi Lynn Olson, PTA
• Julie Kay Olson, M.D,
• Wendy Ruth Olson, MSW, LICSW
• Thomas C Ortmeier, MD
• Sarah Ann Osborne, MD
• Terri Lynn Oster, APRN, CRNA
• Amanda Anne Ostrowski
• Joseph Samuel Owen, APRN, CNP

• Oral and Maxillofacial Surgery (Dentist) in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.