FACE & JAW SURGEONS, PC
NPI 1730897026
Dentist - Oral and Maxillofacial Surgery in Dickinson, ND
About Face & Jaw Surgeons, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FACE & JAW SURGEONS, PC (NPI 1730897026) is a healthcare organization registered as an oral and maxillofacial surgery in Dickinson, North Dakota and active in the NPI registry since November 2022. The organization lists Joseph Deatherage, Surgeon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Face & Jaw Surgeons, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Face & Jaw Surgeons, PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Minneapolis, MN 55455
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 Face & Jaw Surgeons, PC's NPI number?
The NPI number for Face & Jaw Surgeons, PC is 1730897026. It was assigned to this organization in the NPPES registry on November 7, 2022.
Where is Face & Jaw Surgeons, PC located?
Face & Jaw Surgeons, PC is located at 664 12th St W, Dickinson, ND 58601. The listed phone number is (701) 258-7220.
What is Face & Jaw Surgeons, PC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Face & Jaw Surgeons, PC enrolled in Medicare?
Yes. Face & Jaw Surgeons, PC is registered in the Medicare PECOS enrollment system.
When is Face & Jaw Surgeons, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (North Dakota, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Face & Jaw Surgeons, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Face & Jaw Surgeons, PC. 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 Certified Registered Nurse Anesthetist (CRNA) (7), Oral Surgery (6) and Maxillofacial Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Face & Jaw Surgeons, PC accept?
Health plans from Blue Cross Blue Shield of North Dakota list Face & Jaw Surgeons, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Face & Jaw Surgeons, PC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Face & Jaw Surgeons, Pc · NPI 1730897026
Oral and Maxillofacial Surgery organization in Dickinson, North Dakota. Organization record, active in the CMS NPPES registry since November 7, 2022.
## Identity
- **NPI:** 1730897026 (Entity type: Organization)
- **Enumerated:** November 7, 2022
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Joseph Deatherage, SURGEON, OWNER
## Practice location
- **Address:** 664 12TH ST W, Dickinson, ND 58601
- **Phone:** (701) 258-7220 · **Fax:** (701) 222-2329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, North Dakota, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (7), Oral Surgery (6), Maxillofacial Surgery (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730897026) · Data from the CMS NPPES public registry.