JACK W. HANEY, D.D.S., P.C.
NPI 1285104661
Dentist - General Practice in O Fallon, MO

NPI Status: Active since November 28, 2018

Contact Information

2315 TECHNOLOGY DR STE 101
O FALLON, MO
ZIP 63368
Phone: (636) 561-9255
Fax: (636) 625-9028

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About JACK W. HANEY, D.D.S., P.C.

This page provides the complete NPI Profile along with additional information for Jack W. Haney, D.d.s., P.c., a provider established in O Fallon, Missouri operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1285104661 assigned on November 2018. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Jack W. Haney, D.d.s., P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Ty Justice (Director, Payer Relations)

NPI
1285104661
Provider Name
JACK W. HANEY, D.D.S., P.C.
Entity Type
Organization
Location Address
2315 TECHNOLOGY DR STE 101 O FALLON, MO 63368
Location Phone
(636) 561-9255
Location Fax
(636) 625-9028
Mailing Address
9825 KENWOOD RD STE 200 BLUE ASH, OH 45242
Mailing Phone
(513) 609-4076
Mailing Fax
(636) 625-9028
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2018
Last Update Date
11-28-2018
Code Navigator

A dentist like Jack W. Haney, D.d.s., P.c. 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
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.

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)
1122300000XDental Providers

Dentist

 

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.

Insurance Plans Accepted

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

  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO

*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

TY JUSTICE

Authorized Official Title
DIRECTOR, PAYER RELATIONS
Authorized Official Phone
(513) 808-4984

Reviews for JACK W. HANEY, D.D.S., P.C.

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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.
1285104661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165208612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 0 + 8 + 6 + 1 + 2 + 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 1285104661 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205356425DR. JOHN MARSHALL III DMD
Individual
Dentist2315 TECHNOLOGY DR STE 101
O FALLON, MO 63368
(636) 561-9255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285104661, enumerated in the NPI registry as an "organization" on November 28, 2018

The provider is located at 2315 Technology Dr Ste 101 O Fallon, Mo 63368 and the phone number is (636) 561-9255

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

The provider might be accepting Accepts: Aetna CVS Health. 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 November 28, 2018. 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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