ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA
NPI 1720206428
Dentist - Oral and Maxillofacial Surgery in Chanhassen, MN
About Oral And Maxillofacial Surgical Consultants Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORAL AND MAXILLOFACIAL SURGICAL CONSULTANTS PA (NPI 1720206428) is a healthcare organization registered as an oral and maxillofacial surgery in Chanhassen, Minnesota and active in the NPI registry since April 2007. The organization lists Debi A Keckhafer, Practice Manager, 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)
Oral And Maxillofacial Surgical Consultants Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Oral And Maxillofacial Surgical Consultants PA, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (15)
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 Oral And Maxillofacial Surgical Consultants PA's NPI number?
The NPI number for Oral And Maxillofacial Surgical Consultants PA is 1720206428. It was assigned to this organization in the NPPES registry on April 20, 2007.
Where is Oral And Maxillofacial Surgical Consultants PA located?
Oral And Maxillofacial Surgical Consultants PA is located at 7770 Dell Road Suite 100, Chanhassen, MN 55317. The listed phone number is (952) 435-4150.
What is Oral And Maxillofacial Surgical Consultants PA's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Oral And Maxillofacial Surgical Consultants PA enrolled in Medicare?
Yes. Oral And Maxillofacial Surgical Consultants PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Oral And Maxillofacial Surgical Consultants PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Oral And Maxillofacial Surgical Consultants PA. 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. Of these, 8 practice 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 Oral And Maxillofacial Surgical Consultants PA was last updated on June 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Oral And Maxillofacial Surgical Consultants Pa · NPI 1720206428
Oral and Maxillofacial Surgery organization in Chanhassen, Minnesota. Organization record, active in the CMS NPPES registry since April 20, 2007.
## Identity
- **NPI:** 1720206428 (Entity type: Organization)
- **Enumerated:** April 20, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Debi Keckhafer, PRACTICE MANAGER
## Practice location
- **Address:** 7770 DELL ROAD, SUITE 100, Chanhassen, MN 55317-9316
- **Phone:** (952) 435-4150 · **Fax:** (952) 435-7548
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians (Maxillofacial Surgery) reassign Medicare billing to this organization (form CMS-855R); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 25, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1720206428) · Data from the CMS NPPES public registry.