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MAXILLOFACIAL SURGERY INNOVATIVE SERVICES
NPI 1962929240
Clinic/Center in Mayfield Heights, OH

Active since August 28, 2017
1284 SOM CENTER RD STE 219, MAYFIELD HEIGHTS, OH 44124(888) 774-7773(888) 774-7970 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 28, 2017 (2 updates tracked since 2017).

About Maxillofacial Surgery Innovative Services NPPES

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

MAXILLOFACIAL SURGERY INNOVATIVE SERVICES (NPI 1962929240) is a healthcare organization registered as a clinic/center in Mayfield Heights, Ohio and active in the NPI registry since August 2017. The organization lists Michelle Ann Hancock, Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1962929240
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAXILLOFACIAL SURGERY INNOVATIVE SERVICES
Location Address1284 SOM CENTER RD STE 219Mayfield Heights, OH 44124-2048
Mailing Address1284 Som Center Rd Ste 219Mayfield Heights, OH 44124-2048 · (888) 774-7773 · Fax (888) 774-7970
Phone(888) 774-7773
Fax(888) 774-7970
Organization SubpartNo
Authorized OfficialMichelle Ann HancockCredentialing Director · (515) 321-6451
Enumeration DateAugust 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1962929240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1284 SOM CENTER RD STE 219, Mayfield Heights, OH 44124
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Other Identifiers 1

Medicaid2855503OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Other Providers at the Same Location NPPES

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

JOSEPH I KRAJEKIAN DMD
Dentist (Oral and Maxillofacial Surgery)
1284 SOM CENTER RD STE 219
MAYFIELD HEIGHTS, OH 44124
Cuyahoga County (888) 774-7773

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 Maxillofacial Surgery Innovative Services's NPI number?

The NPI number for Maxillofacial Surgery Innovative Services is 1962929240. It was assigned to this organization in the NPPES registry on August 28, 2017.

Where is Maxillofacial Surgery Innovative Services located?

Maxillofacial Surgery Innovative Services is located at 1284 Som Center Rd Ste 219, Mayfield Heights, OH 44124. The listed phone number is (888) 774-7773.

What is Maxillofacial Surgery Innovative Services's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Maxillofacial Surgery Innovative Services accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Maxillofacial Surgery Innovative Services 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 Maxillofacial Surgery Innovative Services was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.