KOALA CENTER FOR SLEEP & TMJ DISORDERS MI-1
NPI 1265887210
Dentist in Dunlap, IL
NPI Status: Active since April 27, 2016
Contact Information
11825 STATE ROUTE 40
SUITE 100
DUNLAP, IL
ZIP 61525
Phone: (309) 839-9971
Fax: (309) 807-3365
- Organization
- Dentist
About KOALA CENTER FOR SLEEP & TMJ DISORDERS MI-1
This page provides the complete NPI Profile along with additional information for Koala Center For Sleep & Tmj Disorders Mi-1, a provider established in Dunlap, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1265887210 assigned on April 2016. The practitioner's primary taxonomy code is 122300000X with license number 2901021258 (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. Koala Center For Sleep & Tmj Disorders Mi-1 operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Koala Center For Sleep & Tmj Disorders Mi-1. The authorized official of this NPI record is Brent Jackson Dds (Owner)
- NPI
- 1265887210
- Provider Legal Name
- JACKSON SLEEP CENTERS PLLC
- Other Organization Name
- KOALA CENTER FOR SLEEP & TMJ DISORDERS MI-1
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 11825 STATE ROUTE 40 SUITE 100 DUNLAP, IL 61525
- Location Phone
- (309) 839-9971
- Location Fax
- (309) 807-3365
- Mailing Address
- 454 S MAIN ST LAPEER, MI 48446
- Mailing Phone
- (810) 664-4641
- Mailing Fax
- (309) 807-3365
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2016
- Last Update Date
- 04-27-2016
- Code Navigator
A dentist like Koala Center For Sleep & Tmj Disorders Mi-1 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.
- 2901021258
- License State
- MI
- 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.
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 | 2901009946 (MI) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 | 6 | 5 | 8 | 8 | 7 | 2 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 8 | 14 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 8 + 1 + 4 + 2 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1265887210 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1891820312 | MAPLESHADE VISION CENTER INC. Organization | Optometrist | 11825 STATE ROUTE 40 SUITE 101 DUNLAP, IL 61525 (309) 243-5900 |
| 1811028848 | NIZAR N MERHEB Individual | Dentist (Oral and Maxillofacial Surgery) | 11825 STATE ROUTE 40 DUNLAP, IL 61525 (309) 243-8980 |
| 1417138421 | DR. ERIN PATRICK SHANAHAN DMD Individual | Dentist | 11825 STATE ROUTE 40 DUNLAP, IL 61525 (309) 243-7702 |
| 1255512273 | DR. GEORGE M. DUNCAN DDS Individual | Dentist | 11825 STATE ROUTE 40 SUITE 100 DUNLAP, IL 61525 (309) 243-8980 |
| 1740518380 | ILLINOIS INSTITUTE OF DENTAL SLEEP MEDICINE INC Organization | Dentist | 11825 STATE ROUTE 40 DUNLAP, IL 61525 (309) 243-9239 |
| 1144409806 | DR. RODNEY EARL WILLEY DDS Individual | Dentist | 11825 STATE ROUTE 40 SUITE 100 DUNLAP, IL 61525 (309) 243-8980 |
| 1134416795 | MAPLE SHADE DENTAL (DUNLAP) LLC Organization | Dentist | 11825 STATE ROUTE 40 SUITE 200 DUNLAP, IL 61525 (309) 243-7702 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265887210, enumerated in the NPI registry as an "organization" on April 27, 2016
The provider is located at 11825 State Route 40 Suite 100 Dunlap, Il 61525 and the phone number is (309) 839-9971
This medical organization specializes in Dentist with taxonomy code 122300000X
This NPI record was last updated on April 27, 2016. 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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