THEODORE M HENNESSEY DDS PS
NPI 1255694147
Dentist - General Practice in Lynnwood, WA

NPI Status: Active since June 17, 2012

Contact Information

19715 SCRIBER LAKE RD STE C
LYNNWOOD, WA
ZIP 98036
Phone: (425) 774-7781

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About THEODORE M HENNESSEY DDS PS

This page provides the complete NPI Profile along with additional information for Theodore M Hennessey Dds Ps, a provider established in Lynnwood, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1255694147 assigned on June 2012. The practitioner's primary taxonomy code is 1223G0001X with license number DE00010589 (WA). The provider is registered as an organization and their NPI record was last updated 13 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 Theodore M Hennessey Dds (Owner)

NPI
1255694147
Provider Name
THEODORE M HENNESSEY DDS PS
Entity Type
Organization
Location Address
19715 SCRIBER LAKE RD STE C LYNNWOOD, WA 98036
Location Phone
(425) 774-7781
Mailing Address
19715 SCRIBER LAKE RD STE C LYNNWOOD, WA 98036
Mailing Phone
(425) 774-7781
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2012
Last Update Date
06-17-2012
Code Navigator

A dentist like Theodore M Hennessey Dds Ps 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
DE00010589
License State
WA
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.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

THEODORE M HENNESSEY DDS

Authorized Official Title
OWNER
Authorized Official Phone
(425) 774-7781

Reviews for THEODORE M HENNESSEY DDS PS

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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.
1255694147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105129818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 9 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1255694147 is valid because the calculated check digit 7 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
1053463802 ROBERT LOUIS EILERT DDS
Individual
Dentist (General Practice)19715 SCRIBER LAKE RD STE C
LYNNWOOD, WA 98036
(425) 774-7781

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255694147, enumerated in the NPI registry as an "organization" on June 17, 2012

The provider is located at 19715 Scriber Lake Rd Ste C Lynnwood, Wa 98036 and the phone number is (425) 774-7781

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 17, 2012. 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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