HEAD & NECK SURGICAL ASSOCIATES, PC – NPI #1821153941
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.

HEAD & NECK SURGICAL ASSOCIATES, PC is an oral & maxillofacial surgeon located in PORTLAND, OR. NPPES has assigned the NPI number 1821153941 to HEAD & NECK SURGICAL ASSOCIATES, PC on December 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 5 years ago on May 21, 2021. 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 HEAD & NECK SURGICAL ASSOCIATES, PC below.

NPI Profile for
HEAD & NECK SURGICAL ASSOCIATES, PC

NPI Number
1821153941
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
HEAD & NECK SURGICAL ASSOCIATES, PC
Primary location
1849 NW KEARNEY ST STE 300
PORTLAND, OR 97209-1453
Phone: (503) 224-1371 Fax: (503) 224-0722
Mailing address
1849 NW KEARNEY ST
SUITE 300
PORTLAND, OR 97209-1453
Phone: (503) 224-1371 Fax: (503) 224-0722
Organization Subpart
No
Authorized Official
SHANNON GRESH
CLINIC OPERATIONS MANAGER
Phone: (503) 224-1371
Updated
Certification Date
May 21, 2021

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 HEAD & NECK SURGICAL ASSOCIATES, PC

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
MEDICAIDOR286589
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)
OR
207YX0901X
- Otolaryngology / Otology & Neurotology
OR

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.