FLORIDA INSTITUTE OF OMS – NPI #1558429753
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

FLORIDA INSTITUTE OF OMS is an oral & maxillofacial surgeon located in FORT PIERCE, FL. NPPES has assigned the NPI number 1558429753 to FLORIDA INSTITUTE OF OMS on December 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FLORIDA INSTITUTE OF OMS” is a dba name, the actual legal business name for this organization is TAKASHI KOYAMA DMD PHD PA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 2 years ago on Jan 31, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA INSTITUTE OF OMS below.

NPI Profile for
TAKASHI KOYAMA DMD PHD PA

NPI Number
1558429753
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TAKASHI KOYAMA DMD PHD PA
Doing Business As (dba): FLORIDA INSTITUTE OF OMS
Primary location
2402 FRIST BLVD STE 100
FORT PIERCE, FL 34950-4838
Phone: (772) 461-9700 Fax: (772) 461-9300
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TANYA GONZALEZ
PRACTICE MANAGER
Phone: (772) 461-9700
Updated
Certification Date
Jan 31, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FLORIDA INSTITUTE OF OMS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAL LICENSEFLDN 16376
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
1223S0112X
- Dentist / Oral and Maxillofacial Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.