KHOHLIA MACK DMD
NPI 1245856590
Dentist in Providence, RI
NPI Status: Active since June 23, 2020
- Individual
- Female
- Dentist
- Accepts Insurance
- PECOS Enrolled
About KHOHLIA MACK
This page provides the complete NPI Profile along with additional information for Khohlia Mack, a provider established in Providence, Rhode Island with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1245856590 assigned on June 2020. The practitioner's primary taxonomy code is 122300000X with license number LD00178 (RI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1245856590
- Provider Name
- KHOHLIA MACK DMD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 593 EDDY ST PROVIDENCE, RI 02903
- Location Phone
- (401) 444-4098
- Mailing Address
- 593 EDDY ST PROVIDENCE, RI 02903
- Mailing Phone
- (401) 444-4098
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-23-2020
- Last Update Date
- 06-23-2020
- Code Navigator
A dentist like Khohlia Mack 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
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- LD00178
- License State
- RI
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Khohlia Mack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 02903 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.48
- Minimum New Patient Price $58.57
- Maximum New Patient Price $177.03
- Average New Patient Copayment $22.62
- Minimum New Patient Copayment $14.64
- Maximum New Patient Copayment $44.25
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.93
- Minimum Established Patient Price $18.92
- Maximum Established Patient Price $144.38
- Average Established Patient Copayment $18.23
- Minimum Established Patient Copayment $4.73
- Maximum Established Patient Copayment $36.09
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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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 | 8 | 5 | 6 | 5 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 16 | 5 | 12 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 6 + 5 + 1 + 2 + 5 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245856590 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235134495 | DR. CHANDAN LAKHIANI MD Individual | Pediatrics | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-4691 |
| 1215933908 | RACHEL ALLISON ALTURA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-5241 |
| 1255338240 | MOHAMMED FAIZAN M.D. Individual | Pediatrics (Pediatric Nephrology) | 593 EDDY ST HASBRO 122 PROVIDENCE, RI 02903 (401) 444-6195 |
| 1477551992 | DR. PETER J QUESENBERRY MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-4830 |
| 1235138843 | DR. SUSAN L. PLANTE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 593 EDDY ST PHARMACY SERVICES PROVIDENCE, RI 02903 (401) 444-9075 |
| 1275533077 | ZHANHONG MI CNP Individual | Nurse Practitioner | 593 EDDY ST APC 456 PROVIDENCE, RI 02903 (401) 444-5545 |
| 1093707655 | KEITH B SUNDERLIN PAC Individual | Physician Assistant | 593 EDDY ST APC 4 PROVIDENCE, RI 02903 (401) 444-4000 |
| 1073500757 | DR. MARK E. MATTINGLY M.D. Individual | Internal Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-3985 |
| 1306837323 | MS. JO-ANN BERGERON POLSKY BS, MPH, RD Individual | Nutritionist | 593 EDDY ST RHODE ISLAND HOSPITAL POB 334 PROVIDENCE, RI 02903 (401) 444-4422 |
| 1215919782 | DR. SUZANNE E MCLAUGHLIN M.D. Individual | Internal Medicine | 593 EDDY ST POB-224 MED/PEDS CLINIC PROVIDENCE, RI 02903 (401) 444-6118 |
| 1619950581 | DR. JAY M. BARUCH M.D. Individual | Emergency Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 519-1604 |
| 1083698575 | ALI KAZIM M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 593 EDDY ST RHODE ISLAND HOSPITAL PROVIDENCE, RI 02903 (404) 444-4779 |
| 1750365797 | DR. KRISTIN LEE BRUNING MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1013991926 | HUMERA KHURSHID MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST APC MAIN PROVIDENCE, RI 02903 (401) 444-5435 |
| 1407830334 | THOMAS ALLEN ROESLER MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1699750067 | RICHARD C ARCHAMBAULT EDD Individual | Marriage & Family Therapist | 593 EDDY ST POTTER 3 PROVIDENCE, RI 02903 (401) 444-3534 |
| 1679559371 | DR. CELIA MARIA LESCANO PHD Individual | Psychologist (Clinical) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8539 |
| 1467438184 | DR. ROBYN S MEHLENBECK PHD Individual | Psychologist (Clinical Child & Adolescent) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8638 |
| 1881679512 | RENDUELES VILLALBA II MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST POTTER 2 PROVIDENCE, RI 02903 (401) 444-2128 |
| 1386620466 | DR. HENRY R LESIEUR PSYD, PHD Individual | Psychologist (Addiction (Substance Use Disorder)) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 277-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245856590, enumerated in the NPI registry as an "individual" on June 23, 2020
The provider is located at 593 Eddy St Providence, Ri 02903 and the phone number is (401) 444-4098
The provider's speciality is Dentist with taxonomy code 122300000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $90.48 with an average copayment of $22.62 for new patient appointments. Established patients should expect a typical charge of $72.93 and an average copayment of 18.23. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 23, 2020. 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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