ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA
NPI 1487651071
Dentist - Oral and Maxillofacial Pathology in Flagstaff, AZ

NPI Status: Active since June 28, 2005

Contact Information

77 W FOREST AVE
STE 107
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2530
Fax: (928) 773-2532

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  • Organization
  • Dentist
  • Oral and Maxillofacial Pathology

About ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA

This page provides the complete NPI Profile along with additional information for Oral And Maxillofacial Surgeons Of Northern Arizona, a provider established in Flagstaff, Arizona operating as a Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1487651071 assigned on June 2005. The practitioner's primary taxonomy code is 1223P0106X with license number 2803 (AZ). The provider is registered as an organization and their NPI record was last updated 18 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 Lorin Dean Peterson Dmd (President)

NPI
1487651071
Provider Name
ORAL AND MAXILLOFACIAL SURGEONS OF NORTHERN ARIZONA
Entity Type
Organization
Location Address
77 W FOREST AVE STE 107 FLAGSTAFF, AZ 86001
Location Phone
(928) 773-2530
Location Fax
(928) 773-2532
Mailing Address
77 W FOREST AVE STE 107 FLAGSTAFF, AZ 86001
Mailing Phone
(928) 773-2530
Mailing Fax
(928) 773-2532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-28-2005
Last Update Date
10-16-2007
Code Navigator

A dentist like Oral And Maxillofacial Surgeons Of Northern Arizona 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 Pathology

Taxonomy Code
1223P0106X
Type
Dental Providers
License No.
2803
License State
AZ
Taxonomy Description
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LORIN DEAN PETERSON DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(928) 773-2530

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZWMBSRMEDICARE PIN (08)AZ 

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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.
1487651071
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671252014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 5 + 2 + 0 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1487651071 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235133059MS. GRETCHEN KARR SCHABER NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)77 W FOREST AVE STE 302
FLAGSTAFF, AZ 86001
(928) 214-0470
1134126725 TODD ALAN DINGMAN DDS,MD
Individual
Dentist (Oral and Maxillofacial Surgery)77 W FOREST AVE STE 107
FLAGSTAFF, AZ 86001
(928) 773-2530
1699772061 LORIN DEAN PETERSON DMD
Individual
Dentist (Oral and Maxillofacial Pathology)77 W FOREST AVE STE 107
FLAGSTAFF, AZ 86001
(928) 773-2530
1093707804 LEE B MCGAREY MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1184616997 RON L TUCKMAN MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1629060439 SHEILA M MACKELL MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1356333165 MARY ALLICE BERGER MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1912999582 PAULA D RAND MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1932191509 LAURIE K BROWN MD
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1053303321 BARBARA L. BOSCH M.D.
Individual
Pediatrics77 W FOREST AVE SUITE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1467436659 FRANCIS XAVIER MAHER III M.D.
Individual
Orthopaedic Surgery77 W FOREST AVE SUITE 301
FLAGSTAFF, AZ 86001
(928) 773-2535
1013985191 DANIEL E WESCHE MD
Individual
Surgery77 W FOREST AVE SUITE 201
FLAGSTAFF, AZ 86001
(928) 773-2222
1487623476 PAUL E LUNDSTROM MD
Individual
Surgery77 W FOREST AVE SUITE 201
FLAGSTAFF, AZ 86001
(928) 773-2222
1912976879 AMY L DELEVA MD
Individual
Pediatrics77 W FOREST AVE STE 304
FLAGSTAFF, AZ 86001
(928) 214-3600
1467417824DR. MICHAEL ANGELO TRUJILLO M.D.
Individual
Internal Medicine (Gastroenterology)77 W FOREST AVE STE 210
FLAGSTAFF, AZ 86001
(928) 773-2547
1356306724DR. JOAN C MITRIUS M.D.
Individual
Internal Medicine (Gastroenterology)77 W FOREST AVE STE 210
FLAGSTAFF, AZ 86001
(928) 773-2547
1063461655NORTHERN ARIZONA CARDIOVASCULAR SPECIALISTS PC
Organization
Internal Medicine (Cardiovascular Disease)77 W FOREST AVE SUITE 302
FLAGSTAFF, AZ 86001
(928) 214-0470
1457300196NORTHERN ARIZONA AFFILIATED CARDIAC SERVICES, LTD
Organization
Radiology (Diagnostic Radiology)77 W FOREST AVE SUITE 302
FLAGSTAFF, AZ 86001
(928) 214-0470
1578518957 EDWARD P. HERMAN M.D.
Individual
Radiology (Diagnostic Radiology)77 W FOREST AVE SUITE 101
FLAGSTAFF, AZ 86001
(928) 773-2515
1295780401 EDGAR T CLARK M.D.
Individual
Radiology (Diagnostic Radiology)77 W FOREST AVE SUITE 101
FLAGSTAFF, AZ 86001
(928) 773-2515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487651071, enumerated in the NPI registry as an "organization" on June 28, 2005

The provider is located at 77 W Forest Ave Ste 107 Flagstaff, Az 86001 and the phone number is (928) 773-2530

This medical organization specializes in Dentist with taxonomy code 1223P0106X with a focus in Oral and Maxillofacial Pathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 28, 2005. 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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