THREE RIVERS ORAL AND FACIAL SURGERY LLC
NPI 1164265633
Oral & Maxillofacial Surgery in Tualatin, OR
NPI Status: Active since June 13, 2024
Contact Information
6464 SW BORLAND RD STE D3
TUALATIN, OR
ZIP 97062
Phone: (503) 692-5654
- Organization
- Oral & Maxillofacial Surgery
- Accepts Insurance
About THREE RIVERS ORAL AND FACIAL SURGERY LLC
This page provides the complete NPI Profile along with additional information for Three Rivers Oral And Facial Surgery Llc, a provider established in Tualatin, Oregon operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1164265633 assigned on June 2024. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Three Rivers Oral And Facial Surgery Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Daniel Petrisor Dmd, Md, Facs (Surgeon)
- NPI
- 1164265633
- Provider Name
- THREE RIVERS ORAL AND FACIAL SURGERY LLC
- Entity Type
- Organization
- Location Address
- 6464 SW BORLAND RD STE D3 TUALATIN, OR 97062
- Location Phone
- (503) 692-5654
- Mailing Address
- 6464 SW BORLAND RD STE D3 TUALATIN, OR 97062
- Mailing Phone
- (503) 692-5654
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2024
- Last Update Date
- 06-13-2024
- Code Navigator
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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
- Bronze HSA 7000 Individual and Family Network - EPO
- Gold 2300 Individual and Family Network - EPO
- Regence Standard Bronze Plan Individual and Family Network - EPO
- Regence Standard Gold Plan Individual and Family Network - EPO
- Regence Standard Silver Plan Individual and Family Network - EPO
- Silver 6200 Individual and Family Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for THREE RIVERS ORAL AND FACIAL SURGERY LLC
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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 | 6 | 4 | 2 | 6 | 5 | 6 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 4 | 6 | 10 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 4 + 6 + 1 + 0 + 6 + 6 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1164265633 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194280685 | DANIEL PETRISOR DMD MD LLC Organization | Dentist (Oral and Maxillofacial Surgery) | 6464 SW BORLAND RD STE D3 TUALATIN, OR 97062 (214) 316-5743 |
| 1124381629 | SAM SEOHO BAE M.D., D.D.S. Individual | Oral & Maxillofacial Surgery | 6464 SW BORLAND RD STE D3 TUALATIN, OR 97062 (503) 692-5654 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164265633, enumerated in the NPI registry as an "organization" on June 13, 2024
The provider is located at 6464 Sw Borland Rd Ste D3 Tualatin, Or 97062 and the phone number is (503) 692-5654
This medical organization specializes in Oral & Maxillofacial Surgery with taxonomy code 204E00000X
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. 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 June 13, 2024. 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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