ST. JUDE DENTAL P.C
NPI 1053637199
Clinic/Center - Dental in Houston, TX

NPI Status: Active since April 14, 2010

Contact Information

8420 S SAM HOUSTON PKWY W STE 260
HOUSTON, TX
ZIP 77085
Phone: (972) 224-5397
Fax: (972) 224-0344

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  • Organization
  • Clinic/Center
  • Dental

About ST. JUDE DENTAL P.C

This page provides the complete NPI Profile along with additional information for St. Jude Dental P.c, a provider established in Houston, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1053637199 assigned on April 2010. The practitioner's primary taxonomy code is 261QD0000X with license number 22568 (TX). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Emeka Jude Abazie Dds (Dentist)

NPI
1053637199
Provider Name
ST. JUDE DENTAL P.C
Entity Type
Organization
Location Address
8420 S SAM HOUSTON PKWY W STE 260 HOUSTON, TX 77085
Location Phone
(972) 224-5397
Location Fax
(972) 224-0344
Mailing Address
1001 N BECKLEY AVE #420C DESOTO, TX 75115
Mailing Phone
(972) 224-5397
Mailing Fax
(972) 224-0344
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2010
Last Update Date
04-14-2010
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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.
22568
License State
TX

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

EMEKA JUDE ABAZIE DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(972) 224-5397

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
1578657763MEDICAID (05)TX 

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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.
1053637199
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010312314118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 3 + 1 + 4 + 1 + 1 + 8 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1053637199 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053637199, enumerated in the NPI registry as an "organization" on April 14, 2010

The provider is located at 8420 S Sam Houston Pkwy W Ste 260 Houston, Tx 77085 and the phone number is (972) 224-5397

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 April 14, 2010. 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].
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