NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Oral Surgery Specialty

Oral & Maxillofacial Surgery (D.M.D.) in South Jordan, UT · enumerated 2011 · authorized official L. Israelsen, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790089886

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Oral Surgery Specialty
Practice address 3648 W 9800 S, South Jordan, UT, 84095
Enumeration date Jan 4, 2011
Last updated in NPPES Nov 22, 2011

Taxonomy & classification

204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians · License 135181 (UT) Primary

Authorized official

Name L. Israelsen
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Oral Surgery Specialty?
Oral Surgery Specialty is registered in NPPES as a Oral & Maxillofacial Surgery (D.M.D.) (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-11-22.