SHEPHERD MALL FAMILY DENTISTRY
NPI 1013416940
Clinic/Center - Dental in Oklahoma City, OK

NPI Status: Active since February 06, 2018

Contact Information

2401 NW 23RD ST
OKLAHOMA CITY, OK
ZIP 73107
Phone: (405) 942-0337

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  • Organization
  • Clinic/Center
  • Dental

About SHEPHERD MALL FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Shepherd Mall Family Dentistry, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1013416940 assigned on February 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 4333 (OK). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Shepherd Mall Family Dentistry. The authorized official of this NPI record is Dr. Mark Jay Allen Dds (Partneer)

NPI
1013416940
Provider Legal Name
ALLEN AND HANSEN DENTISTRY PARTNERSHIP
Other Organization Name
SHEPHERD MALL FAMILY DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2401 NW 23RD ST OKLAHOMA CITY, OK 73107
Location Phone
(405) 942-0337
Mailing Address
519 S SANTA FE AVE EDMOND, OK 73003
Mailing Phone
(405) 844-6100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2018
Last Update Date
06-16-2018
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
4333
License State
OK

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

DR. MARK JAY ALLEN DDS

Authorized Official Title
PARTNEER
Authorized Official Phone
(405) 844-6100

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
4333OTHER (01)OKDENTAL LICENSE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013416940
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023811298
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 8 + 1 + 1 + 2 + 9 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1013416940 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427050657DR. JOHN PAUL KEENAN M.D.
Individual
Ophthalmology2401 NW 23RD ST SUITE 1A
OKLAHOMA CITY, OK 73107
(405) 522-7176
1881798395 S. ZHANA BOSA RISLEY LPC
Individual
Counselor (Mental Health)2401 NW 23RD ST
OKLAHOMA CITY, OK 73107
(405) 522-8185
1700087863CONVENIENT MEDICAL
Organization
Family Medicine2401 NW 23RD ST SUITE 101
OKLAHOMA CITY, OK 73107
(405) 948-6300
1417278078DR. DAVID LAWRENCE ALLEN D.D.S.
Individual
Dentist (General Practice)2401 NW 23RD ST SUITE 23
OKLAHOMA CITY, OK 73107
(405) 942-0337
1801201942ADVANCED SCIENCE AND TECHNOLOGY EDUCATION CHARTER SCHOOLS
Organization
Speech-Language Pathologist2401 NW 23RD ST SUITE 3
OKLAHOMA CITY, OK 73107
(405) 947-6273
1285051672MOSAIC MENTAL HEALTH LLC
Organization
Community/Behavioral Health2401 NW 23RD ST SUITE 101
OKLAHOMA CITY, OK 73107
(405) 595-9600
1598086001DR. JASON DANIEL NICHOLSON D.D.S.
Individual
Dentist (Periodontics)2401 NW 23RD ST SUITE 23
OKLAHOMA CITY, OK 73107
(405) 942-0337
1992401046 FARIANA THALIA GALVAN COTA
Individual
Occupational Therapy Assistant2401 NW 23RD ST
OKLAHOMA CITY, OK 73107
(405) 355-3239
1992188122 CARA LISA MITTON M.S.
Individual
Speech-Language Pathologist2401 NW 23RD ST
OKLAHOMA CITY, OK 73107
(405) 355-3239
1871905323 CYNTHIA THOMAS LPC
Individual
Counselor (Professional)2401 NW 23RD ST SUITE 101
OKLAHOMA CITY, OK 73107
(405) 595-9600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013416940, enumerated in the NPI registry as an "organization" on February 06, 2018

The provider is located at 2401 Nw 23rd St Oklahoma City, Ok 73107 and the phone number is (405) 942-0337

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 06, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.