WICKER PARK DENTAL GROUP
NPI 1356749550
Dentist in Chicago, IL
NPI Status: Active since December 21, 2014
- Organization
- Dentist
About WICKER PARK DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Wicker Park Dental Group, a provider established in Chicago, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1356749550 assigned on December 2014. The practitioner's primary taxonomy code is 122300000X with license number 019029636 (IL). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Wicker Park Dental Group. The authorized official of this NPI record is Dr. Krishna M Gopisetty D.d.s., M.s. (President)
- NPI
- 1356749550
- Provider Legal Name
- KRISHNA M GOPISETTY D.D.S., M.S., P.C.
- Other Organization Name
- WICKER PARK DENTAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1738 W NORTH AVE CHICAGO, IL 60622
- Location Phone
- (773) 276-5566
- Mailing Address
- 1738 W NORTH AVE CHICAGO, IL 60622
- Mailing Phone
- (773) 276-5566
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2014
- Last Update Date
- 12-21-2014
- Code Navigator
A dentist like Wicker Park Dental Group 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.
- 019029636
- License State
- IL
- 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.
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.
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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 | 3 | 5 | 6 | 7 | 4 | 9 | 5 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 14 | 4 | 18 | 5 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 4 + 4 + 1 + 8 + 5 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1356749550 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 |
|---|---|---|---|
| 1003962192 | WICKER PARK DENTAL, LTD Organization | Dentist | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1750426078 | DR. PHILIP D DORTCH DDS Individual | Dentist | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1003033770 | THERESA WESTFALLEN Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1326349770 | WICKER PARK DENTAL LLC Organization | Clinic/Center (Dental) | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1275838328 | DR. KRISHNA M GOPISETTY D.D.S., M.S. Individual | Dentist | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1336925221 | DR. MANASA KANNEGANTI DDS Individual | Dentist (General Practice) | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
| 1528844388 | JAHNAVI BHAGAT Individual | Dentist | 1738 W NORTH AVE CHICAGO, IL 60622 (773) 276-5566 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356749550, enumerated in the NPI registry as an "organization" on December 21, 2014
The provider is located at 1738 W North Ave Chicago, Il 60622 and the phone number is (773) 276-5566
This medical organization specializes in Dentist with taxonomy code 122300000X
This NPI record was last updated on December 21, 2014. 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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