SOUTHSIDE DENTAL AT TINSELTOWN
NPI 1275739237
Preferred Provider Organization in Jacksonville, FL
NPI Status: Active since June 26, 2007
Contact Information
4540 SOUTHSIDE BLVD
SUITE 801
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 642-2010
Fax: (904) 642-8282
- Organization
- Preferred Provider Organization
- Accepts Insurance
About SOUTHSIDE DENTAL AT TINSELTOWN
This page provides the complete NPI Profile along with additional information for Southside Dental At Tinseltown, a provider established in Jacksonville, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1275739237 assigned on June 2007. The practitioner's primary taxonomy code is 305R00000X with license number DN15716 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southside Dental At Tinseltown. The authorized official of this NPI record is Crystal L Less (Vp Of Operations)
- NPI
- 1275739237
- Provider Legal Name
- AMANDO DENTAL CORPORATION
- Other Organization Name
- SOUTHSIDE DENTAL AT TINSELTOWN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4540 SOUTHSIDE BLVD SUITE 801 JACKSONVILLE, FL 32216
- Location Phone
- (904) 642-2010
- Location Fax
- (904) 642-8282
- Mailing Address
- 3545-1 ST. JOHNS BLUFF RD. S. SUITE 352 JACKSONVILLE, FL 32224
- Mailing Phone
- (904) 998-7000
- Mailing Fax
- (904) 642-8282
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-26-2007
- Last Update Date
- 01-26-2015
- Code Navigator
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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- DN15716
- License State
- FL
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- EssentialSmile Florida - Total Care - EPO
- EssentialSmile Ped 221 - PPO
- Smile Now Florida - No Waiting Period PPO - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 7 | 3 | 9 | 2 | 3 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 14 | 3 | 18 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 4 + 3 + 1 + 8 + 2 + 6 + 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 = 7 | 7 | ||||||||
The NPI number 1275739237 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 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1093849895 | ADVANCED DENTAL CARE OF JACKSONVILLE PA Organization | Dentist | 4540 SOUTHSIDE BLVD 1001 JACKSONVILLE, FL 32216 (904) 725-4433 |
| 1295918548 | DEERWOOD LAKE CHIROPRACTIC Organization | Chiropractor | 4540 SOUTHSIDE BLVD STE. # 1101 JACKSONVILLE, FL 32216 (904) 996-8660 |
| 1699094151 | DR. BROCK PHILIPS DMD Individual | Dentist (General Practice) | 4540 SOUTHSIDE BLVD SUITE 801 JACKSONVILLE, FL 32216 (904) 642-2010 |
| 1083929905 | MS. STEPHANIE K HUMPHRIES L.M.E. Individual | Specialist | 4540 SOUTHSIDE BLVD SUITE 701 JACKSONVILLE, FL 32216 (904) 472-5563 |
| 1336454263 | TOTAL BODY AESTHETICS, INC. Organization | Specialist | 4540 SOUTHSIDE BLVD SUITE 701 JACKSONVILLE, FL 32216 (904) 472-5563 |
| 1417398835 | MRS. LYNN H POWELL LMHC, CTRS Individual | Counselor (Professional) | 4540 SOUTHSIDE BLVD SUITE 401 JACKSONVILLE, FL 32216 (904) 566-9256 |
| 1932729639 | MEDICUSSX SPINE & JOINT, LLC Organization | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 4540 SOUTHSIDE BLVD JACKSONVILLE, FL 32216 (904) 503-1065 |
| 1386274330 | JENNIFER M REAVES LMT Individual | Massage Therapist | 4540 SOUTHSIDE BLVD JACKSONVILLE, FL 32216 (904) 296-9545 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275739237, enumerated in the NPI registry as an "organization" on June 26, 2007
The provider is located at 4540 Southside Blvd Suite 801 Jacksonville, Fl 32216 and the phone number is (904) 642-2010
This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X
The provider might be accepting Accepts: Solstice Benefits and UnitedHealthcare. 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 26, 2007. 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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