INDIANA PERIODONTICS
NPI 1427143643
Dentist - Periodontics in Greenwood, IN

NPI Status: Active since October 04, 2006

Contact Information

45 N MADISON AVE
GREENWOOD, IN
ZIP 46142
Phone: (317) 887-3180
Fax: (317) 882-2718

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  • Organization
  • Dentist
  • Periodontics

About INDIANA PERIODONTICS

This page provides the complete NPI Profile along with additional information for Indiana Periodontics, a provider established in Greenwood, Indiana operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1427143643 assigned on October 2006. The practitioner's primary taxonomy code is 1223P0300X with license number 12009767 (IN). The provider is registered as an organization and their NPI record was last updated 14 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 Indiana Periodontics. The authorized official of this NPI record is Dr. Kristin M Jackson Dds, Msd (Owner)

NPI
1427143643
Provider Legal Name
JACKSON PERIODONTICS
Other Organization Name
INDIANA PERIODONTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
45 N MADISON AVE GREENWOOD, IN 46142
Location Phone
(317) 887-3180
Location Fax
(317) 882-2718
Mailing Address
45 N MADISON AVE GREENWOOD, IN 46142
Mailing Phone
(317) 887-3180
Mailing Fax
(317) 882-2718
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2006
Last Update Date
06-16-2011
Code Navigator

A dentist like Indiana Periodontics 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
License No.
12009767
License State
IN
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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. KRISTIN M JACKSON DDS, MSD

Authorized Official Title
OWNER
Authorized Official Phone
(317) 887-3180

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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.
1427143643
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244724668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 4 + 6 + 6 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1427143643 is valid because the calculated check digit 3 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
1013960590DR. CARY ZIETLOW M.D.
Individual
Internal Medicine45 N MADISON AVE
GREENWOOD, IN 46142
(317) 887-7624
1326091836COMMUNITY HOSPITALS OF INDIANA INC
Organization
Internal Medicine45 N MADISON AVE
GREENWOOD, IN 46142
(317) 887-7624
1174616825DR. KRISTIN M JACKSON D.D.S., M.S.D.
Individual
Dentist (Periodontics)45 N MADISON AVE
GREENWOOD, IN 46142
(317) 887-3180

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427143643, enumerated in the NPI registry as an "organization" on October 04, 2006

The provider is located at 45 N Madison Ave Greenwood, In 46142 and the phone number is (317) 887-3180

This medical organization specializes in Dentist with taxonomy code 1223P0300X with a focus in Periodontics

This NPI record was last updated on October 04, 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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