ORAL & FACIAL SURGERY CENTER OF JOPLIN
NPI 1376592949
Dentist - Oral and Maxillofacial Surgery in Joplin, MO
NPI Status: Active since May 09, 2006
Contact Information
620 W 32ND ST
JOPLIN, MO
ZIP 64804
Phone: (417) 621-0500
Fax: (417) 781-5809
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- CLIA Number: 26D1087267
- CLIA Cert. Type: Other
- CLIA Exp. Date: 07-29-2026
About ORAL & FACIAL SURGERY CENTER OF JOPLIN
This page provides the complete NPI Profile along with additional information for Oral & Facial Surgery Center Of Joplin, a provider established in Joplin, Missouri operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1376592949 assigned on May 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 2005005794 (MO). The provider is registered as an organization and their NPI record was last updated 16 years ago. Oral & Facial Surgery Center Of Joplin operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Oral & Facial Surgery Center Of Joplin. The authorized official of this NPI record is Bradley R Burnett Dds (President)
- NPI
- 1376592949
- Provider Legal Name
- BURNETT DDS ORAL & FACIAL SURGERY CENTER OF JOPLIN, P.C.
- Other Organization Name
- ORAL & FACIAL SURGERY CENTER OF JOPLIN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 620 W 32ND ST JOPLIN, MO 64804
- Location Phone
- (417) 621-0500
- Location Fax
- (417) 781-5809
- Mailing Address
- 620 W 32ND ST JOPLIN, MO 64804
- Mailing Phone
- (417) 621-0500
- Mailing Fax
- (417) 781-5809
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-09-2006
- Last Update Date
- 11-23-2009
- Code Navigator
A dentist like Oral & Facial Surgery Center Of Joplin 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 Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 2005005794
- License State
- MO
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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) |
---|---|---|---|---|
1 | 1223E0200X | Dental Providers | Dentist | |
2 | 1223E0200X | Dental Providers | Dentist | 010761 (MO) |
3 | 1223S0112X | Dental Providers | Dentist | |
4 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | |
5 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery |
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D1087267
- Facility Type
- Other
- Certificate Effective Date
- July 30, 2024
- Certificate Expiration Date
- July 29, 2026
- Laboratory Director
- BRADLEY R. BURNETT
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Oral & Facial Surgery Center Of Joplin to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 6 | 5 | 9 | 2 | 9 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 14 | 6 | 10 | 9 | 4 | 9 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 1 + 4 + 6 + 1 + 0 + 9 + 4 + 9 + 8 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1376592949 is valid because the calculated check digit 9 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 |
---|---|---|---|
1780880351 | JOPLIN EYE LASER CENTER INC Organization | Ophthalmology | 620 W 32ND ST SUITE C JOPLIN, MO 64804 (417) 621-0202 |
1487971008 | TALON MANINGAS D.O. Individual | Otolaryngology | 620 W 32ND ST JOPLIN, MO 64804 (417) 540-7880 |
1003076837 | FRANK W. SHAGETS, JR., M.D., P.C. Organization | Otolaryngology (Otolaryngology/Facial Plastic Surgery) | 620 W 32ND ST SUITE B JOPLIN, MO 64804 (417) 623-5111 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376592949, enumerated in the NPI registry as an "organization" on May 09, 2006
The provider is located at 620 W 32nd St Joplin, Mo 64804 and the phone number is (417) 621-0500
This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider's CLIA number is 26D1087267 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 09, 2006. 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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