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

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  • 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)
11223E0200XDental Providers

Dentist
Endodontics

 
21223E0200XDental Providers

Dentist
Endodontics

010761 (MO)
31223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 
4204E00000XAllopathic & Osteopathic Physicians

Oral & Maxillofacial Surgery

 
52082S0099XAllopathic & Osteopathic Physicians

Plastic Surgery
Plastic Surgery Within the Head and Neck

 

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.

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

BRADLEY R BURNETT DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(417) 621-0500

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.

Reviews for ORAL & FACIAL SURGERY CENTER OF JOPLIN

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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.
1376592949
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23146109498
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 = 99

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
1780880351JOPLIN EYE LASER CENTER INC
Organization
Ophthalmology620 W 32ND ST SUITE C
JOPLIN, MO 64804
(417) 621-0202
1487971008 TALON MANINGAS D.O.
Individual
Otolaryngology620 W 32ND ST
JOPLIN, MO 64804
(417) 540-7880
1003076837FRANK 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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