PARK DUVALLE MOBILE DENTISTRY VAN
NPI 1275151292
Clinic/Center - Federally Qualified Health Center (FQHC) in Louisville, KY
NPI Status: Active since July 07, 2020
Contact Information
3015 WILSON AVE
LOUISVILLE, KY
ZIP 40211
Phone: (502) 916-7091
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
About PARK DUVALLE MOBILE DENTISTRY VAN
This page provides the complete NPI Profile along with additional information for Park Duvalle Mobile Dentistry Van, a primary care provider established in Louisville, Kentucky operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1275151292 assigned on July 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Park Duvalle Mobile Dentistry Van. The authorized official of this NPI record is Swannie Jett (Ceo)
- NPI
- 1275151292
- Provider Legal Name
- PARK DUVALLE COMMUNITY HEALTH CENTER, INC
- Other Organization Name
- PARK DUVALLE MOBILE DENTISTRY VAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3015 WILSON AVE LOUISVILLE, KY 40211
- Location Phone
- (502) 916-7091
- Mailing Address
- 3015 WILSON AVE LOUISVILLE, KY 40211
- Mailing Phone
- (502) 774-4401
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-07-2020
- Last Update Date
- 11-02-2021
- Code Navigator
A primary care provider (PCP) like Park Duvalle Mobile Dentistry Van sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100595370 | MEDICAID (05) | KY | |
| 31000011 | MEDICAID (05) | KY | |
| 31000920 | MEDICAID (05) | KY |
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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 | 7 | 5 | 1 | 5 | 1 | 2 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 2 | 5 | 2 | 2 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 2 + 5 + 2 + 2 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1275151292 is valid because the calculated check digit 2 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 |
|---|---|---|---|
| 1457465882 | DR. ABDUL R TAK M.D. Individual | Internal Medicine | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1952474686 | GEORGE W WHITE III MD Individual | Pediatrics | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1912071648 | RENEE L GAMBOA MD Individual | Family Medicine | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1083830442 | MR. LEON C FIGA RPH Individual | Pharmacist | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1043481138 | DR. PARANITA SHERARD BRATTON M.D Individual | Family Medicine (Adult Medicine) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1003989708 | DR. JERRY RANDOLPH SMITH MD Individual | Family Medicine | 3015 WILSON AVE PARK DUVALLE CNC LOUISVILLE, KY 40211 (502) 774-4401 |
| 1063642809 | D'NAI CELESTE OVERSTREET D.M.D. Individual | Dentist (General Practice) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1619224045 | NEIKA POWERS APRN Individual | Nurse Practitioner (Family) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1386702603 | BREACYA WASHINGTON D.M.D. Individual | Dentist (General Practice) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1699983833 | DR. PHILIP RAY TRAVIS DMD Individual | Dentist (General Practice) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1881971265 | DR. LAVANYA WIJERATNE PETER PHARM.D. Individual | Pharmacist | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1154359180 | DR. MICHELLE T. NICHOLS DMD Individual | Dentist (General Practice) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1487943270 | MRS. EMILY ANN JOHNSON APRN Individual | Nurse Practitioner (Pediatrics) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1790091080 | MRS. JEAN STODGHILL PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1124524954 | EMILY FRAZIER RD, LD, CLC Individual | Dietitian, Registered | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1902069800 | ARIFA SIDDIQUI M.D. Individual | Family Medicine | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1124099353 | MARIETTA E ENRIQUEZ M.D. Individual | Pediatrics | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1245253160 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1518184613 | PARK DUVALLE COMMUNITY HEALTH CENTER, INC Organization | Pharmacy (Clinic Pharmacy) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
| 1144853029 | ALICE BOOS-EDWARDS Individual | Nurse Practitioner (Pediatrics) | 3015 WILSON AVE LOUISVILLE, KY 40211 (502) 774-4401 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275151292, enumerated in the NPI registry as an "organization" on July 07, 2020
The provider is located at 3015 Wilson Ave Louisville, Ky 40211 and the phone number is (502) 916-7091
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Medicare and Medicaid. 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 July 07, 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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