The Center for Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

60243710 Issued in WA

Legal business name

THE CENTER FOR ORAL & MAXILLOFACIAL SURGERY

Practice address

12715 NE Bel Red Rd Ste 130
Bellevue, WA 98005-2627

Phone

(425) 454-5091

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Hirbod Rowshan, DDSNPI 1356325989

Title

Owner

Phone

(425) 454-5091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 18

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

• Hirbod Rowshan, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellevue, WA
  • NPI 1356325989
  Medicare reassignment NPD Authorized official
• Cassidy Clay Alumbaugh, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1861954190
  NPD (past)
• Wilhelm Bruno Von Eckroth

  • Chiropractor
  • Redmond, WA
  • NPI 1982166682
  NPD (past)
• Mitch Gottschalk

  • Chiropractor
  • Bellevue, WA
  • NPI 1700246253
  NPD (past)
• Rachel Pauline Moral Hernal, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1881268282
  NPD (past)
• Diba Naweed, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1861253445
  NPD (past)
• Fraser Oliver, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1386365583
  NPD (past)
• Sadie Riopelle, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1629778824
  NPD (past)
• Duggan Grant Robinson, DC

  • Chiropractor
  • Maple Valley, WA
  • NPI 1063855856
  NPD (past)
• Harry Gabriel Sese, DC

  • Chiropractor
  • Bellevue, WA
  • NPI 1073790317
  NPD (past)
• Cherylena Elizabeth Simmonds, D.C.

  • Chiropractor
  • Bellevue, WA
  • NPI 1427002492
  NPD (past)
• Raul Alejandro Tello, D.C.

  • Chiropractor
  • Seattle, WA
  • NPI 1992830277
  NPD (past)

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1992183594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12715 NE BEL RED RD STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052627",
            "telephone_number": "425-454-5091",
            "fax_number": "425-454-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12715 NE BEL RED RD STE 130",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052627",
            "telephone_number": "425-454-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 116th Ave NE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043043",
            "country_code": "US",
            "telephone_number": "425-454-5091",
            "fax_number": "425-454-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "ROWSHAN",
        "authorized_official_first_name": "HIRBOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-454-5091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WA",
            "license": "60243710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.