BOTTS DENTAL SPA PC
NPI 1508007717
Clinic/Center - Dental in Cordova, TN

NPI Status: Active since March 18, 2009

Contact Information

1055 N. HOUSTON LEVEE RD.
SUITE 102
CORDOVA, TN
ZIP 38018
Phone: (901) 737-2200
Fax: (901) 737-2277

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  • Organization
  • Clinic/Center
  • Dental

About BOTTS DENTAL SPA PC

This page provides the complete NPI Profile along with additional information for Botts Dental Spa Pc, a provider established in Cordova, Tennessee operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1508007717 assigned on March 2009. The practitioner's primary taxonomy code is 261QD0000X with license number DS0000008754 (TN). The provider is registered as an organization and their NPI record was last updated 16 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 Dr. Jason Bryce Botts Dds (President/owner)

NPI
1508007717
Provider Name
BOTTS DENTAL SPA PC
Entity Type
Organization
Location Address
1055 N. HOUSTON LEVEE RD. SUITE 102 CORDOVA, TN 38018
Location Phone
(901) 737-2200
Location Fax
(901) 737-2277
Mailing Address
1055 N. HOUSTON LEVEE RD. SUITE 102 CORDOVA, TN 38018
Mailing Phone
(901) 737-2200
Mailing Fax
(901) 737-2277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2009
Last Update Date
11-06-2009
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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.
DS0000008754
License State
TN

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)
11223G0001XDental Providers

Dentist
General Practice

 
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

BB9917824 

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. JASON BRYCE BOTTS DDS

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(901) 737-2200

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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.
1508007717
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508001472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 0 + 0 + 1 + 4 + 7 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1508007717 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508007717, enumerated in the NPI registry as an "organization" on March 18, 2009

The provider is located at 1055 N. Houston Levee Rd. Suite 102 Cordova, Tn 38018 and the phone number is (901) 737-2200

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

This NPI record was last updated on March 18, 2009. 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.