DR. DEREK TIMOTHY FAGEN DDS
NPI 1184836991
Dentist in San Antonio, TX

NPI Status: Active since May 04, 2007

Contact Information

3038 WILLIAM HARDEE RD
SAN ANTONIO, TX
ZIP 78234
Phone: (210) 427-6813

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  • Individual
  • Male
  • Dentist

About DEREK FAGEN

This page provides the complete NPI Profile along with additional information for Derek Fagen, a provider established in San Antonio, Texas with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1184836991 assigned on May 2007. The practitioner's primary taxonomy code is 122300000X with license number 08256 (IA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1184836991
Provider Name
DR. DEREK TIMOTHY FAGEN DDS
Gender
Male
Entity Type
Individual
Location Address
3038 WILLIAM HARDEE RD SAN ANTONIO, TX 78234
Location Phone
(210) 427-6813
Mailing Address
1729 CRYSTAL BRIDGES SAN ANTONIO, TX 78260
Mailing Phone
(210) 427-6813
Is Sole Proprietor?
No
Enumeration Date
05-04-2007
Last Update Date
11-01-2022
Code Navigator

A dentist like Derek Fagen 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
08256
License State
IA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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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.
1184836991
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2116416312918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 1 + 6 + 3 + 1 + 2 + 9 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1184836991 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184836991, enumerated in the NPI registry as an "individual" on May 04, 2007

The provider is located at 3038 William Hardee Rd San Antonio, Tx 78234 and the phone number is (210) 427-6813

The provider's speciality is Dentist with taxonomy code 122300000X

This NPI record was last updated on May 04, 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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