SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
NPI 1104019744
Clinic/Center - Oral and Maxillofacial Surgery in Austin, MN

NPI Status: Active since August 27, 2007

Contact Information

605 W OAKLAND AVE
AUSTIN, MN
ZIP 55912
Phone: (507) 433-1031
Fax: (507) 433-6115

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

This page provides the complete NPI Profile along with additional information for Southeastern Minnesota Oral & Maxillofacial Surgery Associates, a provider established in Austin, Minnesota operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1104019744 assigned on August 2007. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Robert A Nustad Dds, Ms (Vp, Treasurer)

NPI
1104019744
Provider Name
SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Entity Type
Organization
Location Address
605 W OAKLAND AVE AUSTIN, MN 55912
Location Phone
(507) 433-1031
Location Fax
(507) 433-6115
Mailing Address
605 W OAKLAND AVE AUSTIN, MN 55912
Mailing Phone
(507) 433-1031
Mailing Fax
(507) 433-6115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2007
Last Update Date
08-27-2007
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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 Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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. ROBERT A NUSTAD DDS, MS

Authorized Official Title
VP, TREASURER
Authorized Official Phone
(507) 451-0290

Reviews for SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

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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.
1104019744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104011878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 1 + 1 + 8 + 7 + 8 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1104019744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609810795DR. RICHARD B YOUNG D.D.S.
Individual
Dentist (Oral and Maxillofacial Surgery)605 W OAKLAND AVE
AUSTIN, MN 55912
(507) 433-1031
1538286851MRS. DEBORAH ANN VOOGD LPN
Individual
Licensed Practical Nurse605 W OAKLAND AVE
AUSTIN, MN 55912
(507) 433-1031
1598882805MRS. JENNIFER T DREYER LPN
Individual
Licensed Practical Nurse605 W OAKLAND AVE
AUSTIN, MN 55912
(507) 433-1031
1326165648MRS. NANCY ANN HOLLAND LPN
Individual
Licensed Practical Nurse605 W OAKLAND AVE
AUSTIN, MN 55912
(507) 433-1031
1578680898MRS. CANDACE LOUISE BAKKER LPN
Individual
Licensed Practical Nurse605 W OAKLAND AVE
AUSTIN, MN 55912
(507) 433-1031
1679549182DR. NANCY ELLEN MCDERMOTT DMD MD
Individual
Dentist (Oral and Maxillofacial Surgery)605 W OAKLAND AVE SEMOMS
AUSTIN, MN 55912
(507) 433-1031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104019744, enumerated in the NPI registry as an "organization" on August 27, 2007

The provider is located at 605 W Oakland Ave Austin, Mn 55912 and the phone number is (507) 433-1031

This medical organization specializes in Clinic/Center with taxonomy code 261QS0112X with a focus in Oral and Maxillofacial Surgery

This NPI record was last updated on August 27, 2007. 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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