DR. ERIC O PETTIT DDS
NPI 1124019088
Dentist - Pediatric Dentistry in Liverpool, NY
NPI Status: Active since October 31, 2005
Contact Information
4820 WEST TAFT ROAD
SUITE 204
LIVERPOOL, NY
ZIP 13088
Phone: (315) 457-2011
- Individual
- Male
- Dentist
- Pediatric Dentistry
About ERIC PETTIT
This page provides the complete NPI Profile along with additional information for Eric Pettit, a provider established in Liverpool, New York with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1124019088 assigned on October 2005. The practitioner's primary taxonomy code is 1223P0221X with license number 0246409 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1124019088
- Provider Name
- DR. ERIC O PETTIT DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4820 WEST TAFT ROAD SUITE 204 LIVERPOOL, NY 13088
- Location Phone
- (315) 457-2011
- Mailing Address
- 4820 WEST TAFT ROAD SUITE 204 LIVERPOOL, NY 13088
- Mailing Phone
- (315) 457-2011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-31-2005
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Eric Pettit 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 0246409
- License State
- NY
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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.
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 |
|---|---|---|---|
| 00562249 | MEDICAID (05) | NY |
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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. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 1 | 9 | 0 | 8 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 1 | 18 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 1 + 1 + 8 + 0 + 1 + 6 + 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 = 8 | 8 | ||||||||
The NPI number 1124019088 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 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639252422 | MS. DEBORAH JEAN FREEMAN NP Individual | Nurse Practitioner (Family) | 4820 WEST TAFT ROAD STE 108 LIVERPOOL, NY 13088 (315) 413-0004 |
| 1821168188 | JOSEPH S TUTOR DDS Individual | Dentist | 4820 WEST TAFT ROAD SUITE 101 WEST TAFT MEDICAL PARK LIVERPOOL, NY 13088 (315) 451-4900 |
| 1295889624 | DR. PAUL JOSEPH LONGO DDS DENTIST Individual | Dentist (General Practice) | 4820 WEST TAFT ROAD LIVERPOOL, NY 13088 (315) 457-3551 |
| 1962824805 | MRS. CAROLYN LEE ADAMS FNP-C Individual | Nurse Practitioner | 4820 WEST TAFT ROAD SUITE 108 LIVERPOOL, NY 13088 (315) 413-0004 |
| 1023310364 | DR. PETER J MOSES DDS Individual | Dentist | 4820 WEST TAFT ROAD SUITE 214 LIVERPOOL, NY 13088 (315) 413-1100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124019088, enumerated in the NPI registry as an "individual" on October 31, 2005
The provider is located at 4820 West Taft Road Suite 204 Liverpool, Ny 13088 and the phone number is (315) 457-2011
The provider's speciality is Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
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 October 31, 2005. 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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