WILKES DENTAL CONSORTIUM
NPI 1508380544
Dentist - General Practice in North Wilkesboro, NC

NPI Status: Active since August 01, 2017

Contact Information

1915 W PARK DR STE 104
NORTH WILKESBORO, NC
ZIP 28659
Phone: (336) 903-9399

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  • Organization
  • Dentist
  • General Practice

About WILKES DENTAL CONSORTIUM

This page provides the complete NPI Profile along with additional information for Wilkes Dental Consortium, a provider established in North Wilkesboro, North Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1508380544 assigned on August 2017. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 3 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 Dedra Roberts (Front Desk Manager)

NPI
1508380544
Provider Name
WILKES DENTAL CONSORTIUM
Entity Type
Organization
Location Address
1915 W PARK DR STE 104 NORTH WILKESBORO, NC 28659
Location Phone
(336) 903-9399
Mailing Address
1915 W PARK DR STE 104 NORTH WILKESBORO, NC 28659
Mailing Phone
(336) 903-9399
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2017
Last Update Date
07-21-2022
Code Navigator

A dentist like Wilkes Dental Consortium 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X MULTIPLE 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

DEDRA ROBERTS

Authorized Official Title
FRONT DESK MANAGER
Authorized Official Phone
(336) 903-9399

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
1962565788MEDICAID (05)NC 
911943799OTHER (01)NCNCHC

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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.
1508380544
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
250868058
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 6 + 8 + 0 + 5 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1508380544 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467765321DR. BRIAN KELLY COOK
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-7300
1114213006 PATRICK BENJAMIN MILLER
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9300
1376839266 KRISTIN KAELKE MILLER
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9399
1669031654DR. KEARA VINCENT DDS
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9399
1144846627 TIMOTHY A PICKETT JR.
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 667-5170
1295264372 JEREMIAH JAMES FAW DDS
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9399
1578088522DR. NIKKI RAY CRISLIP DMD
Individual
Dentist (General Practice)1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9399
1083431100 ANDY JAMES STARON DMD
Individual
Dentist1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(336) 903-9399
1538058409 CAITLYN DALY DMD
Individual
Dentist1915 W PARK DR STE 104
NORTH WILKESBORO, NC 28659
(860) 331-3385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508380544, enumerated in the NPI registry as an "organization" on August 01, 2017

The provider is located at 1915 W Park Dr Ste 104 North Wilkesboro, Nc 28659 and the phone number is (336) 903-9399

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

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 August 01, 2017. 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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