CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.
NPI 1598710477
Dentist - Oral and Maxillofacial Surgery in Saint Cloud, MN
About Centrasota Oral & Maxillofacial Surgeons, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A. (NPI 1598710477) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Cloud, Minnesota and active in the NPI registry since May 2006. The organization lists Robert J Keck, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centrasota Oral & Maxillofacial Surgeons, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Centrasota Oral & Maxillofacial Surgeons, P.A., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Woodinville, WA 98072
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Centrasota Oral & Maxillofacial Surgeons, P.A.'s NPI number?
The NPI number for Centrasota Oral & Maxillofacial Surgeons, P.A. is 1598710477. It was assigned to this organization in the NPPES registry on May 22, 2006.
Where is Centrasota Oral & Maxillofacial Surgeons, P.A. located?
Centrasota Oral & Maxillofacial Surgeons, P.A. is located at 3950 Veterans Dr Suite 100, Saint Cloud, MN 56303. The listed phone number is (320) 252-3611.
What is Centrasota Oral & Maxillofacial Surgeons, P.A.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Centrasota Oral & Maxillofacial Surgeons, P.A. enrolled in Medicare?
Yes. Centrasota Oral & Maxillofacial Surgeons, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centrasota Oral & Maxillofacial Surgeons, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Centrasota Oral & Maxillofacial Surgeons, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (4), Maxillofacial Surgery (3) and Oral Surgery (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centrasota Oral & Maxillofacial Surgeons, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Centrasota Oral & Maxillofacial Surgeons, P.a. · NPI 1598710477
Oral and Maxillofacial Surgery organization in Saint Cloud, Minnesota. Organization record, active in the CMS NPPES registry since May 22, 2006.
## Identity
- **NPI:** 1598710477 (Entity type: Organization)
- **Enumerated:** May 22, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Robert Keck, PRESIDENT
## Practice location
- **Address:** 3950 VETERANS DR, SUITE 100, Saint Cloud, MN 56303-3410
- **Phone:** (320) 252-3611 · **Fax:** (320) 252-7574
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (4), Maxillofacial Surgery (3), Oral Surgery (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1598710477) · Data from the CMS NPPES public registry.