HERITAGE FAMILY DENTAL
NPI 1154693752
Dentist - General Practice in Evansville, IN

NPI Status: Active since January 30, 2012

Contact Information

731 N GREEN RIVER RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 476-3002
Fax: (812) 476-3027

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  • Organization
  • Dentist
  • General Practice

About HERITAGE FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Heritage Family Dental, a provider established in Evansville, Indiana operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1154693752 assigned on January 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 12011723A (IN). The provider is registered as an organization and their NPI record was last updated 14 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 Nissa Mcconnell (Owner/dentist)

NPI
1154693752
Provider Name
HERITAGE FAMILY DENTAL
Entity Type
Organization
Location Address
731 N GREEN RIVER RD EVANSVILLE, IN 47715
Location Phone
(812) 476-3002
Location Fax
(812) 476-3027
Mailing Address
731 N GREEN RIVER RD EVANSVILLE, IN 47715
Mailing Phone
(812) 476-3002
Mailing Fax
(812) 476-3027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2012
Last Update Date
01-30-2012
Code Navigator

A dentist like Heritage Family 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.

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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.
12011723A
License State
IN
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

NISSA MCCONNELL

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(812) 476-3002

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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.
1154693752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041296710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 9 + 6 + 7 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1154693752 is valid because the calculated check digit 2 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
1619141983 NISSA N MCCONNELL DDS
Individual
Dentist731 N GREEN RIVER RD
EVANSVILLE, IN 47715
(812) 476-3002
1437312634 PAUL JAMES MC CONNELL DDS
Individual
Dentist731 N GREEN RIVER RD
EVANSVILLE, IN 47715
(812) 476-3002
1124511837DR. SHAWN MATTHEW STRINGER DMD
Individual
Dentist731 N GREEN RIVER RD
EVANSVILLE, IN 47715
(270) 926-7272
1598506834DR. SAMANTHA JEAN MARTIN DMD
Individual
Dentist (General Practice)731 N GREEN RIVER RD
EVANSVILLE, IN 47715
(812) 308-6816

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154693752, enumerated in the NPI registry as an "organization" on January 30, 2012

The provider is located at 731 N Green River Rd Evansville, In 47715 and the phone number is (812) 476-3002

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

This NPI record was last updated on January 30, 2012. 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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