TWIN PORTS DENTAL
NPI 1114230968
Dentist - General Practice in Superior, WI

NPI Status: Active since July 22, 2010

Contact Information

1507 TOWER AVE
ROOM 427
SUPERIOR, WI
ZIP 54880
Phone: (715) 394-5792

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About TWIN PORTS DENTAL

This page provides the complete NPI Profile along with additional information for Twin Ports Dental, a provider established in Superior, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1114230968 assigned on July 2010. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Genie Kuble (Contact Officer)

NPI
1114230968
Provider Name
TWIN PORTS DENTAL
Entity Type
Organization
Location Address
1507 TOWER AVE ROOM 427 SUPERIOR, WI 54880
Location Phone
(715) 394-5792
Mailing Address
1507 TOWER AVE ROOM 427 SUPERIOR, WI 54880
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2010
Last Update Date
07-22-2010
Code Navigator

A dentist like Twin Ports Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X 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:

  • Premier $1,500 - 25% - HMO
  • Premier $3,500 - 30% - HMO
  • Premier $4,100 HDHP - HMO
  • Premier $5,000 - 40% - HMO
  • Premier $6,200 HDHP - HMO
  • Premier $7,500 - HMO
  • Premier $9,200 - HMO
  • Premier Protection - HMO
  • Select $1,500 - 25% - EPO
  • Select $3,500 - 30% - EPO
  • Select $4,100 HDHP - EPO
  • Select $5,000 - 40% - EPO
  • Select $6,200 HDHP - EPO
  • Select $7,500 - EPO
  • Select $9,200 - EPO
  • Select Protection - EPO
  • Premier HMO $1,500 - 30% - HMO
  • Premier HMO $2,500 - 20% Copay - HMO
  • Premier HMO $3,300 - 30% HDHP - HMO
  • Premier HMO $3,500 - 30% - HMO
  • 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

GENIE KUBLE

Authorized Official Title
CONTACT OFFICER
Authorized Official Phone
(920) 450-0157

Reviews for TWIN PORTS DENTAL

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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.
1114230968
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2124430912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 4 + 3 + 0 + 9 + 1 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1114230968 is valid because the calculated check digit 8 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
1376587279DR. RICHARD MATHIAS JOHNSON DDS
Individual
Dentist1507 TOWER AVE RM 427
SUPERIOR, WI 54880
(715) 394-5792
1194828269DR. BRENT T JOHNSON DDS
Individual
Dentist (General Practice)1507 TOWER AVE SUITE 202
SUPERIOR, WI 54880
(715) 394-3683
1417026485DR. RONALD KEITH UNDERDALE DDS
Individual
Dentist1507 TOWER AVE SUITE 211
SUPERIOR, WI 54880
(715) 394-9450
1063632552DR. ARTHUR DAVID ZEHM DDS
Individual
Dentist1507 TOWER AVE STE 409
SUPERIOR, WI 54880
(715) 392-3499
1437332319 TIMOTHY JAMES MODER SAC-IT
Individual
Counselor (Addiction (Substance Use Disorder))1507 TOWER AVE # 307
SUPERIOR, WI 54880
(715) 392-9300
1417113259 NEAL BURTON O'SHAUGHNESSY JR. DDS
Individual
Dentist (General Practice)1507 TOWER AVE SUITE 410
SUPERIOR, WI 54880
(715) 392-6213
1386970630MISS ALISHA MARIE BLISS CSAC, LADC
Individual
Counselor (Addiction (Substance Use Disorder))1507 TOWER AVE SUITE 307
SUPERIOR, WI 54880
(715) 392-9300
1538472907 NEIL OLSON
Individual
Dentist (General Practice)1507 TOWER AVE ROOM 427
SUPERIOR, WI 54880
(715) 394-5792
1306144597MR. EDWARD C WIPSON MS LPC CSAC
Individual
Counselor (Mental Health)1507 TOWER AVE SUITE 210
SUPERIOR, WI 54880
(715) 392-3331
1285859041RIDGEWOOD RECOVERY, INC.
Organization
Community/Behavioral Health1507 TOWER AVE SUITE 307
SUPERIOR, WI 54880
(715) 392-9300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114230968, enumerated in the NPI registry as an "organization" on July 22, 2010

The provider is located at 1507 Tower Ave Room 427 Superior, Wi 54880 and the phone number is (715) 394-5792

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Security Health Plan and 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 July 22, 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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