PHILIP P CORNELIUSON DDS INC
NPI 1205914470
Dentist in Fresno, CA

NPI Status: Active since November 02, 2006

Contact Information

5475 N FRESNO ST
SUITE 103
FRESNO, CA
ZIP 93710
Phone: (559) 261-0185
Fax: (559) 261-2386

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  • Organization
  • Dentist

About PHILIP P CORNELIUSON DDS INC

This page provides the complete NPI Profile along with additional information for Philip P Corneliuson Dds Inc, a provider established in Fresno, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1205914470 assigned on November 2006. The practitioner's primary taxonomy code is 122300000X. 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 Dr. Philip P Corneliuson Dds (President Owner)

NPI
1205914470
Provider Name
PHILIP P CORNELIUSON DDS INC
Entity Type
Organization
Location Address
5475 N FRESNO ST SUITE 103 FRESNO, CA 93710
Location Phone
(559) 261-0185
Location Fax
(559) 261-2386
Mailing Address
5475 N FRESNO ST SUITE 103 FRESNO, CA 93710
Mailing Phone
(559) 261-0185
Mailing Fax
(559) 261-2386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Philip P Corneliuson Dds Inc 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
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.

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

DR. PHILIP P CORNELIUSON DDS

Authorized Official Title
PRESIDENT OWNER
Authorized Official Phone
(559) 261-0185

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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.
1205914470
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051818414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 1 + 8 + 4 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205914470 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386711042MS. DEBRA J ALVISO DPT, OCS
Individual
Physical Therapist5475 N FRESNO ST SUITE #110
FRESNO, CA 93710
(559) 449-0320
1326176421MS. DEANNA PATRICE AVERY LMFT
Individual
Marriage & Family Therapist5475 N FRESNO ST SUITE 101
FRESNO, CA 93710
(559) 431-1334
1760634380SLEEPQUEST, INC.
Organization
Durable Medical Equipment & Medical Supplies5475 N FRESNO ST SUITE 112
FRESNO, CA 93710
(559) 436-8800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205914470, enumerated in the NPI registry as an "organization" on November 02, 2006

The provider is located at 5475 N Fresno St Suite 103 Fresno, Ca 93710 and the phone number is (559) 261-0185

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on November 02, 2006. 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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