BROAD PARK FAMILY DENTISTRY
NPI 1154440089
Dentist - General Practice in Mansfield, TX

NPI Status: Active since March 29, 2007

Contact Information

1750 E BROAD ST
MANSFIELD, TX
ZIP 76063
Phone: (817) 473-6857

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  • Organization
  • Dentist
  • General Practice

About BROAD PARK FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Broad Park Family Dentistry, a provider established in Mansfield, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1154440089 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number D21075 (TX). The provider is registered as an organization and their NPI record was last updated 5 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 Dax Michael Sinn Dds (Owner)

NPI
1154440089
Provider Name
BROAD PARK FAMILY DENTISTRY
Entity Type
Organization
Location Address
1750 E BROAD ST MANSFIELD, TX 76063
Location Phone
(817) 473-6857
Mailing Address
1750 E BROAD ST MANSFIELD, TX 76063
Mailing Phone
(817) 473-6857
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-29-2007
Last Update Date
08-22-2020
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A dentist like Broad Park Family Dentistry 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
License No.
D21075
License State
TX
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

DAX MICHAEL SINN DDS

Authorized Official Title
OWNER
Authorized Official Phone
(817) 473-6857

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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.
1154440089
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104840016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 8 + 4 + 0 + 0 + 1 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1154440089 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073602645DR. JEREMY I RUDD D.M.D.
Individual
Dentist (General Practice)1750 E BROAD ST
MANSFIELD, TX 76063
(817) 473-6857
1083849707BROAD PARK DENTAL PA
Organization
Dentist (General Practice)1750 E BROAD ST
MANSFIELD, TX 76063
(817) 473-6857
1043819451DR. SHANNA HOWZE DDS
Individual
Dentist (General Practice)1750 E BROAD ST
MANSFIELD, TX 76063
(817) 473-6857
1518522754 ALYSA BROOKE SADKIN DMD
Individual
Dentist (General Practice)1750 E BROAD ST
MANSFIELD, TX 76063
(817) 473-6857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154440089, enumerated in the NPI registry as an "organization" on March 29, 2007

The provider is located at 1750 E Broad St Mansfield, Tx 76063 and the phone number is (817) 473-6857

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

This NPI record was last updated on March 29, 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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