DMR FAMILY & COSMETIC DENTISTRY
NPI 1487932836
Exclusive Provider Organization in Westerly, RI
NPI Status: Active since August 02, 2011
Contact Information
31 CRESTVIEW DR
WESTERLY, RI
ZIP 02891
Phone: (401) 596-7734
Fax: (401) 596-7780
- Organization
- Exclusive Provider Organization
- Accepts Insurance
About DMR FAMILY & COSMETIC DENTISTRY
This page provides the complete NPI Profile along with additional information for Dmr Family & Cosmetic Dentistry, a provider established in Westerly, Rhode Island operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1487932836 assigned on August 2011. The practitioner's primary taxonomy code is 302F00000X with license number DEN03120 (RI). 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 Diana M Radulescu (Dds)
- NPI
- 1487932836
- Provider Name
- DMR FAMILY & COSMETIC DENTISTRY
- Entity Type
- Organization
- Location Address
- 31 CRESTVIEW DR WESTERLY, RI 02891
- Location Phone
- (401) 596-7734
- Location Fax
- (401) 596-7780
- Mailing Address
- 31 CRESTVIEW DR WESTERLY, RI 02891
- Mailing Phone
- (401) 596-7734
- Mailing Fax
- (401) 596-7780
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-02-2011
- Last Update Date
- 08-02-2011
- Code Navigator
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
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- DEN03120
- License State
- RI
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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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 | 4 | 8 | 7 | 9 | 3 | 2 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 18 | 3 | 4 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 1 + 8 + 3 + 4 + 8 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1487932836 is valid because the calculated check digit 6 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 |
|---|---|---|---|
| 1346227188 | INSU KONG MD Individual | Obstetrics & Gynecology (Gynecology) | 31 CRESTVIEW DR WESTERLY, RI 02891 (401) 596-9939 |
| 1821196916 | DR. ANTONIO JOHN MATTERO D.D.S. Individual | Dentist (General Practice) | 31 CRESTVIEW DR WESTERLY, RI 02891 (401) 596-7734 |
| 1841387149 | ANTONIO J. MATTERO, D.D.S. INC. Organization | Dentist (General Practice) | 31 CRESTVIEW DR WESTERLY, RI 02891 (401) 596-7734 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487932836, enumerated in the NPI registry as an "organization" on August 02, 2011
The provider is located at 31 Crestview Dr Westerly, Ri 02891 and the phone number is (401) 596-7734
This medical organization specializes in Exclusive Provider Organization with taxonomy code 302F00000X
The provider might be accepting Accepts: UnitedHealthcare. 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 August 02, 2011. 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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