OMS SPECIALISTS
NPI 1982634010
Dentist - Oral and Maxillofacial Surgery in New Brighton, MN

Active since July 04, 2006
550 COUNTY ROAD D, SUITE 12, NEW BRIGHTON, MN 55421(612) 788-9246(612) 788-5511 Get Directions Write a Review

NPPES record last updated: July 29, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About OMS SPECIALISTS

This page provides the complete NPI Profile along with additional information for Oms Specialists, a provider established in New Brighton, Minnesota operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1982634010 assigned on July 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 10472 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Oms Specialists. The authorized official of this NPI record is Kirby Charles Johnson Dds (President)

NPI
1982634010 Verify this NPI
Provider Legal Name
ORAL & MAXILLOFACIAL SURGERY SPECIALISTS, PA
Other Organization Name
OMS SPECIALISTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
550 COUNTY ROAD D SUITE 12 NEW BRIGHTON, MN 55421
Location Phone
(612) 788-9246
Location Fax
(612) 788-5511
Mailing Address
550 COUNTY ROAD D SUITE 12 NEW BRIGHTON, MN 55112
Mailing Phone
(651) 259-9902
Mailing Fax
(651) 259-9930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-04-2006
Last Update Date
07-29-2014
Code Navigator

A dentist like Oms Specialists is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
10472
License State
MN
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIRBY CHARLES JOHNSON DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(612) 788-9246

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U72187MEDICARE UPIN (02)MN 
T93145MEDICARE UPIN (02)MN 
U72794MEDICARE UPIN (02)MN 
C07428MEDICARE UPIN (02)MN 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982634010, enumerated as an "organization" on July 04, 2006.

The provider is located at 550 COUNTY ROAD D SUITE 12 NEW BRIGHTON, MN 55421 and the phone number is (612) 788-9246.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.