DR JACOB GOERTZ DMD LLC
NPI 1114564697
Clinic/Center - Dental in Oregon City, OR

NPI Status: Active since December 04, 2019

Contact Information

617 HIGH ST STE 201
OREGON CITY, OR
ZIP 97045
Phone: (503) 656-4123

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  • Organization
  • Clinic/Center
  • Dental

About DR JACOB GOERTZ DMD LLC

This page provides the complete NPI Profile along with additional information for Dr Jacob Goertz Dmd Llc, a provider established in Oregon City, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1114564697 assigned on December 2019. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Jacob Goertz Dmd (Owner)

NPI
1114564697
Provider Name
DR JACOB GOERTZ DMD LLC
Entity Type
Organization
Location Address
617 HIGH ST STE 201 OREGON CITY, OR 97045
Location Phone
(503) 656-4123
Mailing Address
617 HIGH ST STE 201 OREGON CITY, OR 97045
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2019
Last Update Date
12-04-2019
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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

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

DR. JACOB GOERTZ DMD

Authorized Official Title
OWNER
Authorized Official Phone
(503) 860-2625

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
1093293946MEDICAID (05)OR 

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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.
1114564697
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21241068618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 2 + 4 + 1 + 0 + 6 + 8 + 6 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1114564697 is valid because the calculated check digit 7 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
1093293946DR. JACOB DANIEL GOERTZ DMD
Individual
Dentist617 HIGH ST STE 201
OREGON CITY, OR 97045
(503) 656-4123

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114564697, enumerated in the NPI registry as an "organization" on December 04, 2019

The provider is located at 617 High St Ste 201 Oregon City, Or 97045 and the phone number is (503) 656-4123

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 December 04, 2019. 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.