MOSAIC MEDICAL PRINEVILLE DENTAL
NPI 1174066963
Clinic/Center - Federally Qualified Health Center (FQHC) in Prineville, OR
NPI Status: Active since November 28, 2016
Contact Information
375 NW BEAVER ST
SUITE 101
PRINEVILLE, OR
ZIP 97754
Phone: (541) 447-0707
Fax: (541) 383-1883
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
About MOSAIC MEDICAL PRINEVILLE DENTAL
This page provides the complete NPI Profile along with additional information for Mosaic Medical Prineville Dental, a primary care provider established in Prineville, Oregon operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1174066963 assigned on November 2016. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Mosaic Medical Prineville Dental. The authorized official of this NPI record is Megan Haase (Ceo)
- NPI
- 1174066963
- Provider Legal Name
- MOSAIC MEDICAL DENTAL
- Other Organization Name
- MOSAIC MEDICAL PRINEVILLE DENTAL
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754
- Location Phone
- (541) 447-0707
- Location Fax
- (541) 383-1883
- Mailing Address
- 600 SW COLUMBIA ST SUITE 6210 BEND, OR 97702
- Mailing Phone
- (541) 383-3005
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-28-2016
- Last Update Date
- 02-28-2018
- Code Navigator
A primary care provider (PCP) like Mosaic Medical Prineville Dental sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
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 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center |
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 |
|---|---|---|---|
| 182960 | MEDICAID (05) | OR |
Reviews for MOSAIC MEDICAL PRINEVILLE DENTAL
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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 | 7 | 4 | 0 | 6 | 6 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 0 | 6 | 12 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 0 + 6 + 1 + 2 + 9 + 1 + 2 + 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 1174066963 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 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1841304920 | COUNTY OF CROOK Organization | Clinic/Center (Public Health, Federal) | 375 NW BEAVER ST SUITE 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1285952689 | NELDA J GRYMES RN Individual | Registered Nurse | 375 NW BEAVER ST STE. 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1528386992 | MURIEL MARGARET DELAVERGNE-BROWN R.N. Individual | Registered Nurse (Administrator) | 375 NW BEAVER ST STE. 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1124339759 | KAREN YEARGAIN LPN Individual | Licensed Practical Nurse | 375 NW BEAVER ST STE 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1992047666 | PAULA YVONNE RN, BSN Individual | Registered Nurse (Community Health) | 375 NW BEAVER ST SUITE 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1821489873 | LEAH FLEGEL RN Individual | Registered Nurse | 375 NW BEAVER ST #100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1548644867 | KATRINA SIMPSON RN Individual | Registered Nurse (Community Health) | 375 NW BEAVER ST PRINEVILLE, OR 97754 (541) 447-5165 |
| 1679811954 | MOSAIC MEDICAL Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754 (541) 447-0707 |
| 1124482070 | JENNIFER DAMORE NP Individual | Nurse Practitioner (Women's Health) | 375 NW BEAVER ST SUITE 100 PRINEVILLE, OR 97754 (541) 447-5165 |
| 1699129890 | MEGANN DASTRUP MDA Individual | Dietitian, Registered | 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754 (541) 447-0707 |
| 1114359643 | REBECCA G. LUNDGREN RN Individual | Registered Nurse | 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754 (541) 447-0707 |
| 1346785318 | WENDY PERRIN RN Individual | Registered Nurse (Community Health) | 375 NW BEAVER ST PRINEVILLE, OR 97754 (541) 447-5165 |
| 1285146928 | SUSAN PUDDY RN Individual | Registered Nurse (General Practice) | 375 NW BEAVER ST PRINEVILLE, OR 97754 (541) 447-5165 |
| 1073523122 | MS. LINDA HATCH FNP Individual | Nurse Practitioner (Family) | 375 NW BEAVER ST PRINEVILLE, OR 97754 (541) 447-0707 |
| 1578830550 | DR. CHARLES ALBERT NOYES PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754 (541) 447-0707 |
| 1740469378 | LEEANN CHERYL OSBORNE PA Individual | Physician Assistant (Medical) | 375 NW BEAVER ST SUITE 101 PRINEVILLE, OR 97754 (541) 447-1680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174066963, enumerated in the NPI registry as an "organization" on November 28, 2016
The provider is located at 375 Nw Beaver St Suite 101 Prineville, Or 97754 and the phone number is (541) 447-0707
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
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 November 28, 2016. 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.