ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC
ORAL AND MAXILLOFACIAL SURGERY SERVICES, PLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1548283559, based in Grand Rapids, MI. The organization lists 3 taxonomy classifications, with Oral and Maxillofacial Radiology Dentistry recorded as primary.
Getting there
The practice address on file is 4500 CASCADE RD SE SUITE #208, Grand Rapids, MI 49546. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| KE011553 | MI | Oral and Maxillofacial Radiology Dentistry primary |
| KE011553 | MI | Oral and Maxillofacial Pathology Dentistry |
| KE011553 | MI | Oral and Maxillofacial Surgery (Dentist) |
This provider holds licence KE011553 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Oral and Maxillofacial Radiology covers
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223X0008X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223X0008X | Oral and Maxillofacial Radiology Dentistry Oral and Maxillofacial Radiology | KE011553 | MI | primary |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry Oral and Maxillofacial Pathology | KE011553 | MI | |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) Oral and Maxillofacial Surgery | KE011553 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1548283559 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 25, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
4500 CASCADE RD SE SUITE #208 Grand Rapids, MI 49546 (616) 977-5000 Fax (616) 977-0020 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 4 | 8 | 2 | 8 | 3 | 5 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 8 | 8 | 4 | 8 | 6 | 5 | 1 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.