THOMAS R. WIEDEMANN, DDS,PC
NPI 1245390798
Clinic/Center - Dental in Saint Louis, MO

NPI Status: Active since December 12, 2006

Contact Information

3707 WATSON RD
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 645-6400

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  • Organization
  • Clinic/Center
  • Dental

About THOMAS R. WIEDEMANN, DDS,PC

This page provides the complete NPI Profile along with additional information for Thomas R. Wiedemann, Dds,pc, a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1245390798 assigned on December 2006. The practitioner's primary taxonomy code is 261QD0000X with license number 13165 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Thomas R Wiedemann Dds (President)

NPI
1245390798
Provider Name
THOMAS R. WIEDEMANN, DDS,PC
Entity Type
Organization
Location Address
3707 WATSON RD SAINT LOUIS, MO 63109
Location Phone
(314) 645-6400
Mailing Address
3707 WATSON RD SAINT LOUIS, MO 63109
Mailing Phone
(314) 645-6400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-12-2006
Last Update Date
08-22-2020
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
13165
License State
MO

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. THOMAS R WIEDEMANN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 645-6400

Reviews for THOMAS R. WIEDEMANN, DDS,PC

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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.
1245390798
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285690718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 9 + 0 + 7 + 1 + 8 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1245390798 is valid because the calculated check digit 8 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
1790782399DR. THOMAS R WIEDEMANN D.D.S.
Individual
Dentist (General Practice)3707 WATSON RD
SAINT LOUIS, MO 63109
(314) 645-6400
1801257274DR. STEPHEN EUGENE CHRISTY D.M.D.
Organization
Dentist3707 WATSON RD
SAINT LOUIS, MO 63109
(314) 645-6400
1972612869 JASON L ALLEN DMD
Individual
Dentist (General Practice)3707 WATSON RD
SAINT LOUIS, MO 63109
(314) 645-6400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245390798, enumerated in the NPI registry as an "organization" on December 12, 2006

The provider is located at 3707 Watson Rd Saint Louis, Mo 63109 and the phone number is (314) 645-6400

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on December 12, 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].
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.