JOHN WESLEY EMISON M.D., D.D.S.
NPI 1114091816
Oral & Maxillofacial Surgery in Los Gatos, CA

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
15780 LOS GATOS BLVD, LOS GATOS, CA 95032(408) 358-5000(408) 358-7936 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Wesley Emison M.d., D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN WESLEY EMISON M.D., D.D.S. (NPI 1114091816) is an individual oral & maxillofacial surgery provider in Los Gatos, California, licensed in California (A47705) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1114091816
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameJOHN WESLEY EMISONCredential: M.D., D.D.S.
Location Address15780 LOS GATOS BLVDLos Gatos, CA 95032-2508
Mailing Address15780 Los Gatos BlvdLos Gatos, CA 95032-2508 · (408) 358-5000 · Fax (408) 358-7936
Fax(408) 358-7936
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 17, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1114091816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License Licensed in CA · A47705
Definition

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.

15780 LOS GATOS BLVD, Los Gatos, CA 95032

Other Identifiers 1

Other878CA · Anesthesia

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Wesley Emison M.d., D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305280611
PECOS Enrollment IDI20240214003387
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Oral and Maxillofacial Surgery)
15780 LOS GATOS BLVD
LOS GATOS, CA 95032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114091816, enumerated as an "individual" on November 17, 2006.

The provider is located at 15780 LOS GATOS BLVD LOS GATOS, CA 95032 and the phone number is (408) 358-5000.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, HMO. Please consult your insurance carrier or call the provider to verify.