DR. KENNETH WAYNE BOURGEOIS DDS
NPI 1255561320
Dentist - General Practice in Tamuning, GU

NPI Status: Active since July 22, 2009

Contact Information

226 CHALAN SAN ANTONIO STE C
TAMUNING, GU
ZIP 96913
Phone: (671) 646-2010
Fax: (671) 646-2070

Get Directions Reviews

  • Individual
  • Male
  • Dentist
  • General Practice

About KENNETH BOURGEOIS

This page provides the complete NPI Profile along with additional information for Kenneth Bourgeois, a provider established in Tamuning, Guam with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1255561320 assigned on July 2009. The practitioner's primary taxonomy code is 1223G0001X with license number D927 (GU). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1255561320
Provider Name
DR. KENNETH WAYNE BOURGEOIS DDS
Gender
Male
Entity Type
Individual
Location Address
226 CHALAN SAN ANTONIO STE C TAMUNING, GU 96913
Location Phone
(671) 646-2010
Location Fax
(671) 646-2070
Mailing Address
226 CHALAN SAN ANTONIO STE C TAMUNING, GU 96913
Mailing Phone
(671) 646-2010
Mailing Fax
(671) 646-2070
Is Sole Proprietor?
Yes
Enumeration Date
07-22-2009
Last Update Date
07-22-2009
Code Navigator

A dentist like Kenneth Bourgeois 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
D927
License State
GU
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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)
11223G0001XDental Providers

Dentist
General Practice

14605 (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.
1255561320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105106234
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 6 + 2 + 3 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1255561320 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972733053REACHING OUT MINISTRIES
Organization
Clinic/Center (Dental)226 CHALAN SAN ANTONIO STE C AMPARO'S BUSINESS CENTER
TAMUNING, GU 96913
(671) 646-2010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255561320, enumerated in the NPI registry as an "individual" on July 22, 2009

The provider is located at 226 Chalan San Antonio Ste C Tamuning, Gu 96913 and the phone number is (671) 646-2010

The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on July 22, 2009. 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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