University Oral & Maxillofacial Surgeons

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS

Practice address

1201 North Stonewall Avenue
Oklahoma City, OK 73117

Phone

(405) 271-4441

Fax

(405) 271-1134

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Lisa R Nichols

Title

Office Manager

Phone

(405) 271-4441

Specialties & licenses 1

Addresses

Tax ID family

University Oral Maxillo Facial Surgeons2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• University Oral & Maxillo Facial Surgeons

  • Specialist
  • Oklahoma City, OK
  • NPI 1487875258
  NPD tax ID

Locations

Practitioners 2

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

• Alan Akio Miyake, MD, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oklahoma City, OK
  • NPI 1124050208
  NPD (past)
• Aaron Chase Southerland, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
  • NPI 1366753139
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962523100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE",
            "address_2": "DCS206",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-271-4441",
            "fax_number": "405-271-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NORTH STONEWALL AVENUE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73117",
            "telephone_number": "405-271-4441",
            "fax_number": "405-271-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "405-271-4441"
    },
    "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": []
}

• University of Oklahoma College of Dentistry
• University of Oklahoma College of Medicine
• University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology
• University of Oklahoma Health Science Center
• University Oral & Maxillo Facial Surgeons
• Jennifer Lee Unruh, ARNP
• Micky Renee Unruh, LPC
• Kayla Unsell, MD
• Robert S Unsell, MD
• Jacob Charles Unsicker, PA

• Oral and Maxillofacial Surgery (Dentist) in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.