NPIMap

Organization Active NPI

Ascension Oral Surgery, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Prairieville, LA
National Provider Identifier
1992051007
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6296 Issued in LA
Legal business name
ASCENSION ORAL SURGERY, LLC
Practice address
16260 Airline Hwy
Suite a
Prairieville, LA 70769-4272
Phone
(225) 744-2660
Fax
(225) 744-2666
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Dr. Mark Richard Josephs, DMD
Title
Oral and Maxillofacial Surgeon
Phone
(225) 744-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6296 LA Primary

Addresses

Primary practice location

16260 Airline Hwy
Suite a
Prairieville, LA 70769-4272

Mailing address

16260 Airline Hwy
Suite a
Prairieville, LA 70769-4272
Phone (225) 744-2660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1992051007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 AIRLINE HWY",
            "address_2": "SUITE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694272",
            "telephone_number": "225-744-2660",
            "fax_number": "225-744-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 AIRLINE HWY",
            "address_2": "SUITE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694272",
            "telephone_number": "225-744-2660",
            "fax_number": "225-744-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION ORAL SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "JOSEPHS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "225-744-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "LA",
            "license": "6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.