INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC
NPI 1477871457
Clinic/Center - Dental in Maplewood, MN

NPI Status: Active since May 14, 2010

Contact Information

1774 COPE AVE E
SUITE 140
MAPLEWOOD, MN
ZIP 55109
Phone: (651) 774-9611
Fax: (651) 748-3704

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  • Organization
  • Clinic/Center
  • Dental

About INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC

This page provides the complete NPI Profile along with additional information for Institute Of Facial Surgery St Paul, Pllc, a provider established in Maplewood, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1477871457 assigned on May 2010. The practitioner's primary taxonomy code is 261QD0000X with license number D6950 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Jerry Kent Brunsoman D.d.s. (President)

NPI
1477871457
Provider Name
INSTITUTE OF FACIAL SURGERY ST PAUL, PLLC
Entity Type
Organization
Location Address
1774 COPE AVE E SUITE 140 MAPLEWOOD, MN 55109
Location Phone
(651) 774-9611
Location Fax
(651) 748-3704
Mailing Address
1774 COPE AVE E SUITE 140 MAPLEWOOD, MN 55109
Mailing Phone
(651) 774-9611
Mailing Fax
(651) 748-3704
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2010
Last Update Date
04-21-2011
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
D6950
License State
MN

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. JERRY KENT BRUNSOMAN D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(651) 774-9611

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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.
1477871457
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471672410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 7 + 2 + 4 + 1 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1477871457 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356342505DR. JERRY KENT BRUNSOMAN D.D.S., M.S.
Individual
Dentist (Oral and Maxillofacial Surgery)1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109
(651) 774-9611
1003830712 JOHN KEITH SCHULTE DDS,MSD
Individual
Dentist (Prosthodontics)1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109
(651) 770-1612
1366531121 WILLIAM DAVID BUNCE DDS
Individual
Dentist (General Practice)1774 COPE AVE E SUITE 110
MAPLEWOOD, MN 55109
(651) 777-3620
1689723686INSTITUTE OF FACIAL SURGERY ST PAUL
Organization
Dentist (Oral and Maxillofacial Surgery)1774 COPE AVE E SUITE 140
MAPLEWOOD, MN 55109
(651) 774-9611

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477871457, enumerated in the NPI registry as an "organization" on May 14, 2010

The provider is located at 1774 Cope Ave E Suite 140 Maplewood, Mn 55109 and the phone number is (651) 774-9611

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on May 14, 2010. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.