VICTORIA E. SHACK, DDS, PC
NPI 1366896466
Dentist in Port Jefferson Station, NY

NPI Status: Active since April 15, 2016

Contact Information

3 MEDICAL DR
SUITE D
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 928-7500

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  • Organization
  • Dentist

About VICTORIA E. SHACK, DDS, PC

This page provides the complete NPI Profile along with additional information for Victoria E. Shack, Dds, Pc, a provider established in Port Jefferson Station, New York operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1366896466 assigned on April 2016. The practitioner's primary taxonomy code is 122300000X with license number 056759 (NY). The provider is registered as an organization and their NPI record was last updated 9 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. Victoria Elena Shack Dds (President)

NPI
1366896466
Provider Name
VICTORIA E. SHACK, DDS, PC
Entity Type
Organization
Location Address
3 MEDICAL DR SUITE D PORT JEFFERSON STATION, NY 11776
Location Phone
(631) 928-7500
Mailing Address
3 MEDICAL DR SUITE D PORT JEFFERSON STATION, NY 11776
Mailing Phone
(631) 928-7500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-15-2016
Last Update Date
04-15-2016
Code Navigator

A dentist like Victoria E. Shack, Dds, Pc 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.

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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.
056759
License State
NY
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.

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. VICTORIA ELENA SHACK DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 928-7500

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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.
1366896466
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312616912412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 9 + 1 + 2 + 4 + 1 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1366896466 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831197318 THEODORE JOHN RANDOLPH D.P.M
Individual
Podiatrist (Foot & Ankle Surgery)3 MEDICAL DR SUITE C
PORT JEFFERSON STATION, NY 11776
(631) 928-7785
1437240223DR. DAVID NATHAN D.D.S.
Individual
Dentist (General Practice)3 MEDICAL DR SUITE D
PORT JEFFERSON STATION, NY 11776
(631) 928-7500
1720264252THEODORE RANDOLPH,DPM
Organization
Podiatrist (Foot & Ankle Surgery)3 MEDICAL DR SUITE C
PORT JEFFERSON STATION, NY 11776
(631) 928-7785

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366896466, enumerated in the NPI registry as an "organization" on April 15, 2016

The provider is located at 3 Medical Dr Suite D Port Jefferson Station, Ny 11776 and the phone number is (631) 928-7500

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on April 15, 2016. 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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