ANADARKO DENTAL GROUP PLLC
NPI 1114497575
Dentist - General Practice in Anadarko, OK

NPI Status: Active since November 28, 2018

Contact Information

310 SE 11TH ST
ANADARKO, OK
ZIP 73005
Phone: (405) 247-7676

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 37D1063365
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 01-10-2027

About ANADARKO DENTAL GROUP PLLC

This page provides the complete NPI Profile along with additional information for Anadarko Dental Group Pllc, a provider established in Anadarko, Oklahoma operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1114497575 assigned on November 2018. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 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 Brandi Ann Williams (Clinical Director)

NPI
1114497575
Provider Name
ANADARKO DENTAL GROUP PLLC
Entity Type
Organization
Location Address
310 SE 11TH ST ANADARKO, OK 73005
Location Phone
(405) 247-7676
Mailing Address
3901 E COVELL RD EDMOND, OK 73034
Mailing Phone
(405) 250-2255
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2018
Last Update Date
11-28-2018
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A dentist like Anadarko Dental Group Pllc 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.

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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

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.

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

BRANDI ANN WILLIAMS

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(405) 250-2255

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D1063365
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
January 11, 2025
Certificate Expiration Date
January 10, 2027
Laboratory Director
DUSTIN TEDESCO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Anadarko Dental Group Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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.
1114497575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21248914514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 8 + 9 + 1 + 4 + 5 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1114497575 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1437249737JONATHON V. THOMAS, DDS,PC
Organization
Dentist (General Practice)310 SE 11TH ST
ANADARKO, OK 73005
(405) 247-7676

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114497575, enumerated in the NPI registry as an "organization" on November 28, 2018

The provider is located at 310 Se 11th St Anadarko, Ok 73005 and the phone number is (405) 247-7676

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

The provider's CLIA number is 37D1063365 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 28, 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].
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