CARUTHERSVILLE DENTAL CENTER
NPI 1053700435
Clinic/Center - Federally Qualified Health Center (FQHC) in Caruthersville, MO

NPI Status: Active since January 22, 2015

Contact Information

109 E 5TH ST
CARUTHERSVILLE, MO
ZIP 63830
Phone: (573) 359-9803
Fax: (573) 359-0990

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About CARUTHERSVILLE DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Caruthersville Dental Center, a primary care provider established in Caruthersville, Missouri operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1053700435 assigned on January 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Caruthersville Dental Center. The authorized official of this NPI record is Christopher Jones (Ceo)

NPI
1053700435
Provider Legal Name
SOUTHEAST MISSOURI HEALTH NETWORK
Other Organization Name
CARUTHERSVILLE DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
109 E 5TH ST CARUTHERSVILLE, MO 63830
Location Phone
(573) 359-9803
Location Fax
(573) 359-0990
Mailing Address
6738 STATE HIGHWAY 77 BENTON, MO 63736
Mailing Phone
(573) 313-2500
Mailing Fax
(573) 359-0990
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2015
Last Update Date
01-17-2025
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A primary care provider (PCP) like Caruthersville Dental Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*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

CHRISTOPHER JONES

Authorized Official Title
CEO
Authorized Official Phone
(573) 748-2404

Reviews for CARUTHERSVILLE DENTAL CENTER

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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.
1053700435
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103140046
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 0 + 4 + 6 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1053700435 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457785123MRS. REBECCA VANESSA YOUNG FNP
Individual
Nurse Practitioner (Family)109 E 5TH ST
CARUTHERSVILLE, MO 63830
(573) 359-9803
1780760058CLARENCE J WILSON JR DDS INC
Organization
Dentist (General Practice)109 E 5TH ST
CORUTHERSVILLE, MO 63830
(573) 333-1550
1225445653 AMBERLY D PRITCHARD LPC, NCC
Individual
Counselor109 E 5TH ST
CARUTHERSVILLE, MO 63830
(573) 359-9803
1740728187 SUMMER ALEXANDER NP
Individual
Nurse Practitioner (Family)109 E 5TH ST
CARUTHERSVILLE, MO 63830
(573) 359-9803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053700435, enumerated in the NPI registry as an "organization" on January 22, 2015

The provider is located at 109 E 5th St Caruthersville, Mo 63830 and the phone number is (573) 359-9803

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: UnitedHealthcare. 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 January 22, 2015. 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.