DR. JERROD LYNN SANDERS DDS
NPI 1245200104
Dentist - Prosthodontics in Fort Campbell, KY
NPI Status: Active since January 24, 2006
Contact Information
5979 DESERT STORM AVE
FORT CAMPBELL, KY
ZIP 42223
Phone: (270) 412-8563
- Individual
- Male
- Dentist
- Prosthodontics
About JERROD SANDERS
This page provides the complete NPI Profile along with additional information for Jerrod Sanders, a provider established in Fort Campbell, Kentucky with a medical specialization in Dentist, focusing in prosthodontics . The healthcare provider is registered in the NPI registry with number 1245200104 assigned on January 2006. The practitioner's primary taxonomy code is 1223P0700X with license number 21321 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1245200104
- Provider Name
- DR. JERROD LYNN SANDERS DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223
- Location Phone
- (270) 412-8563
- Mailing Address
- 9900 LINCON ST FL 2 HQS USA DENTAC JOINT BASE LEWIS MCCHORD, WA 98431
- Mailing Phone
- (253) 968-4029
- Mailing Fax
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-24-2006
- Last Update Date
- 03-27-2023
- Code Navigator
A dentist like Jerrod Sanders 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.
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
Dentist Prosthodontics
- Taxonomy Code
- 1223P0700X
- Type
- Dental Providers
- License No.
- 21321
- License State
- TX
- Taxonomy Description
- That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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 | 122300000X | Dental Providers | Dentist | 0021321 (TX) |
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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 | 2 | 4 | 5 | 2 | 0 | 0 | 1 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 0 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 0 + 0 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1245200104 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932281995 | DR. LEE CALVIN WEBB PT, DPT Individual | Physical Therapist (Orthopedic) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0306 |
| 1518103258 | LATASHA WILKERSON LPN Individual | Licensed Practical Nurse | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0303 |
| 1164668711 | LINDA ALLEN LPN Individual | Licensed Practical Nurse | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 956-0303 |
| 1922338672 | CHRISTOPHER JASON LEE PA-C Individual | Physician Assistant | 5979 DESERT STORM AVE LAPOINTE HEALTH CLINIC FORT CAMPBELL, KY 42223 (270) 420-0091 |
| 1104113018 | MRS. VLATKA SPLAJT PLYMALE D.O. Individual | General Practice | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-8698 |
| 1851596233 | BLANCHFIELD ARMY COMMUNITY HOSPITAL Organization | Clinic/Center (Military/U.S. Coast Guard Outpatient) | 5979 DESERT STORM AVE BUILDING 5979 FORT CAMPBELL, KY 42223 (270) 956-0350 |
| 1982812640 | BLANCHFIELD ARMY COMMUNITY HOSPITAL Organization | Clinic/Center (Military/U.S. Coast Guard Outpatient) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 363-0312 |
| 1063084390 | JESSICA JOHNS PHYSICIAN ASSISTANT Individual | Physician Assistant | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-4677 |
| 1134850647 | DR. KRISTEN E QUARTARARO DMD Individual | Dentist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2787 |
| 1447520630 | DR. SHARLEEN MARIE RUPP AU.D. Individual | Audiologist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-9110 |
| 1033277967 | DR. DUKE PHU NGUYEN DMD Individual | Dentist (General Practice) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-8547 |
| 1417927377 | DR. JILL ELISABETH SANDERS DDS Individual | Dentist (Periodontics) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2787 |
| 1043901358 | MS. RUTH MOZELL ANDERSON REGISTERED NURSE Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-3856 |
| 1275225906 | CORINA MARIE WETTLAUFER Individual | Case Manager/Care Coordinator | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-1234 |
| 1689365983 | STEPHANIE ROSS CARRICO NURSE CASE MANAGER R Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-1498 |
| 1811689540 | MORIAH DREHER Individual | Case Manager/Care Coordinator | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-2570 |
| 1336905009 | ASHLEY LAINE GARRIGAN RN Individual | Registered Nurse (Case Management) | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 412-4266 |
| 1962106385 | ALDAN WORTHY JAMES RACE I Individual | Physician Assistant | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-4677 |
| 1437995610 | GWEN KATHERINE GOSTOMSKI DMD Individual | Dentist | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-8751 |
| 1700453453 | DR. TERRY ADAM BEAL DO Individual | General Practice | 5979 DESERT STORM AVE FORT CAMPBELL, KY 42223 (270) 798-4677 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245200104, enumerated in the NPI registry as an "individual" on January 24, 2006
The provider is located at 5979 Desert Storm Ave Fort Campbell, Ky 42223 and the phone number is (270) 412-8563
The provider's speciality is Dentist with taxonomy code 1223P0700X with a focus in Prosthodontics
This NPI record was last updated on January 24, 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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