AUTUMN RIDGE DENTAL PARTNERSHIP
NPI 1275750531
Dentist - General Practice in Kosciusko, MS

NPI Status: Active since April 19, 2007

Contact Information

101 RIDGEWOOD CIR
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 289-7076
Fax: (662) 289-7050

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About AUTUMN RIDGE DENTAL PARTNERSHIP

This page provides the complete NPI Profile along with additional information for Autumn Ridge Dental Partnership, a provider established in Kosciusko, Mississippi operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1275750531 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 1686-75 (MS). The provider is registered as an organization and their NPI record was last updated 15 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 Dr. Donald Q Weaver D.m.d. (Partner)

NPI
1275750531
Provider Name
AUTUMN RIDGE DENTAL PARTNERSHIP
Entity Type
Organization
Location Address
101 RIDGEWOOD CIR KOSCIUSKO, MS 39090
Location Phone
(662) 289-7076
Location Fax
(662) 289-7050
Mailing Address
101 RIDGEWOOD CIR KOSCIUSKO, MS 39090
Mailing Phone
(662) 289-7076
Mailing Fax
(662) 289-7050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
Last Update Date
01-03-2011
Code Navigator

A dentist like Autumn Ridge Dental Partnership 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.
1686-75
License State
MS
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:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO

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.

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

DR. DONALD Q WEAVER D.M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(662) 289-7076

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
09014559MEDICAID (05)MS 

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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.
1275750531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145145056
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 + 5 + 0 + 5 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1275750531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366603003DR. PHILIP ADAM MIDDLETON DMD
Individual
Dentist (General Practice)101 RIDGEWOOD CIR
KOSCIUSKO, MS 39090
(662) 289-7076
1093919839 PAUL DEVON GUNDY D.M.D.
Individual
Dentist101 RIDGEWOOD CIR
KOSCIUSKO, MS 39090
(662) 289-7076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275750531, enumerated in the NPI registry as an "organization" on April 19, 2007

The provider is located at 101 Ridgewood Cir Kosciusko, Ms 39090 and the phone number is (662) 289-7076

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

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Medicare. 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 April 19, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.