DR. BLAKE DYSON MAIDA (NPI# 1891923843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891923843 |
| Entity Type | Individual |
| Full Name | DR. BLAKE DYSON MAIDA |
| Credential | DDS, MD |
| Practice Address |
7500 San Felipe St Ste 300 Houston TX 77063-1716 |
| Practice Telephone | (713) 457-6337 |
| Practice Fax Number | 7134576341 |
| Mailing Telephone | (713) 457-6337 |
| Mailing Fax Number | 7134576341 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2017-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 24660 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
7500 SAN FELIPE ST STE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776436 | Houston Oral Surgery Associates, Pllc | Dentist | 7500 San Felipe St Ste 300, Houston, TX 77063-1716 | 2019-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
| 1942352612 | Oscar Domingo Maldonado | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1600, Houston, TX 77030-2734 | 2007-01-16 |
| 1033144209 | Jaime Gateno | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1280, Houston, TX 77030 | 2006-07-12 |
| 1356346613 | Thomas Maurice Weil | Oral & Maxillofacial Surgery | 2450 Fondren Rd, Ste 320, Houston, TX 77063-2320 | 2005-06-14 |
| 1033603030 | Marcus Ryan Gillon | Oral & Maxillofacial Surgery | 7500 Cambridge Street, Suite 6510, Houston, TX 77054 | 2018-06-22 |
| 1851774558 | Mathieu S.g. Carrier | Oral & Maxillofacial Surgery | 7500 Cambridge St Ste 6510, Houston, TX 77054-2032 | 2015-06-30 |
| 1316234222 | Michael Fei Huang | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1280, Houston, TX 77030-2753 | 2011-06-30 |
| 1518110329 | Jonathan W Shum | Oral & Maxillofacial Surgery | 6560 Fannin St Ste 1900, Houston, TX 77030-2785 | 2008-10-24 |
| 1780761585 | Sharon S Peterson | Oral & Maxillofacial Surgery | 12121 Richmond Ave, Ste 316, Houston, TX 77082 | 2006-11-01 |
| 1174544738 | Tmhpo Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 6560 Fannin St, Suite 1228, Houston, TX 77030-2761 | 2006-07-21 |
| Find all providers in HOUSTON | ||||
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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.