TEXAS ORAL AND FACIAL SURGERY (NPI# 1477540052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477540052 |
| Entity Type | Organization |
| Organization Name | TEXAS ORAL AND FACIAL SURGERY |
| Practice Address |
810 S Mason Rd Suite 301 Katy TX 77450-3895 |
| Practice Telephone | 2813951200 |
| Practice Fax Number | 2813951201 |
| Mailing Telephone | 2813951200 |
| Mailing Fax Number | 2813951201 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | RAYMOND L WIGGINS (DR) |
| Authorized Official Telephone | 2813951200 |
| Authorized Official Credential | D.D.S., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
18986 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | UCCI | 509663782 | 01 |
| TX | DBP | 164989 | 01 |
| TX | ASSURANCE | 51107 | 01 |
| TX | DHA | 51107 | 01 |
| TX | BC/BS PROVIDER | 88D134 | 01 |
| Street Address |
810 S MASON RD SUITE 301 |
| City | KATY |
| State | TX |
| Zip Code | 77450-3895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822378 | Stanley James Smith | Dentist | 810 S Mason Rd, Ste 215, Katy, TX 77450-3857 | 2005-06-22 |
| 1689979205 | Icon Pharmacy | Pharmacy | 810 S Mason Rd, Ste 102, Katy, TX 77450-3895 | 2011-01-12 |
| 1932373248 | Agl Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 810 S Mason Rd, Suite 302, Katy, TX 77450-3895 | 2008-04-17 |
| 1699946517 | Select Physical Therapy Texas Limited Partnership | Durable Medical Equipment & Medical Supplies | 810 S Mason Rd, Suite 101, Katy, TX 77450-3895 | 2008-03-19 |
| 1831287929 | Timothy Michael Hale | Dentist | 810 S Mason Rd, Ste 325, Katy, TX 77450 | 2006-10-11 |
| 1528174158 | Jerasimos Agrapidis | Physical Therapist | 810 S Mason Rd, Ste 101, Katy, TX 77450-3895 | 2006-08-23 |
| 1497762223 | Nancy E Stroud | Social Worker | 810 S Mason Rd, Suite 160, Katy, TX 77450-3895 | 2006-08-02 |
| 1356304331 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 810 S Mason Rd, Ste 101, Katy, TX 77450-3895 | 2006-04-10 |
| 1942297510 | Raymond L Wiggins | Dentist | 810 S Mason Rd, Ste 301, Katy, TX 77450-3858 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447540638 | Rodolfo O Garza | Dentist | 10605 Spring Green Blvd Ste 200, Katy, TX 77494-3595 | 2011-04-09 |
| 1861498164 | William Jacob Wintersteen | Dentist | 23922 Cinco Village Ctr Blvd, Ste 111, Katy, TX 77494-6619 | 2005-06-22 |
| 1053762823 | Katy Center for Oral and Facial Surgery | Dentist | 23922 Cinco Village Center Blvd, Suite 111, Katy, TX 77494-6619 | 2016-06-23 |
| 1942685276 | Brazos Oral & Maxillofacial Surgery, Pllc | Dentist | 10605 Spring Green Blvd, Suite 200, Katy, TX 77494-4048 | 2015-07-28 |
| 1760690291 | Sejoon Sean Kim | Dentist | 830 S Mason Rd, A-5, Katy, TX 77450-3896 | 2007-05-18 |
| 1801003074 | Justin Brock | Dentist | 23922 Cinco Village Center Blvd, Suite 111, Katy, TX 77494-6619 | 2007-05-17 |
| 1942297510 | Raymond L Wiggins | Dentist | 810 S Mason Rd, Ste 301, Katy, TX 77450-3858 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.