Active NPI
Associated Oral and Maxillofacial Surgeons
- Oral & Maxillofacial Surgery (D.M.D.)
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger Badwal, DMD, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001364190 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Danbury, CT
- NPI 1700894300
-
- Oral and Maxillofacial Surgery (Dentist)
- Danbury, CT
- NPI 1245367622
-
- Oral and Maxillofacial Surgery (Dentist)
- Danbury, CT
- NPI 1295743870
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.