Organization Active NPI

Associated Oral and Maxillofacial Surgeons

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Danbury, CT
National Provider Identifier
1992916787
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS
Practice address
107 Newtown Rd.
Suite 1a
Danbury, CT 06810
Phone
(203) 797-0012
Fax
(203) 797-0123
NPI assigned
May 24, 2007
Last updated
Jul 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Dr. Roger Badwal, DMD, MDNPI 1700894300
Title
President
Phone
(203) 797-0012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X Primary

Addresses

Primary practice location

107 Newtown Rd.
Suite 1a
Danbury, CT 06810

Mailing address

107 Newtown Rd
Suite 1a
Danbury, CT 06810-4146
Phone (203) 797-0012

Other identifiers 1

IdentifierTypeStateIssuer
001364190MedicaidCT

National Provider Directory

National Provider Directory

Locations

107 Newtown Rd
Ste 1A
Danbury, CT 06810
Phone (203) 797-0012

901 Ethan Allen Hwy
Ste 203
Ridgefield, CT 06877
Phone (203) 431-6357

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1992916787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-797-0012",
            "fax_number": "203-797-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD.",
            "address_2": "SUITE 1A",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "06810",
            "telephone_number": "203-797-0012",
            "fax_number": "203-797-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED ORAL AND MAXILLOFACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "BADWAL",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-797-0012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001364190",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.