STEPHENVILLE DENTAL, PLLC
NPI 1548643786
Dentist - General Practice in Stephenville, TX

NPI Status: Active since July 07, 2015

Contact Information

100 WOLFE NURSERY RD
180
STEPHENVILLE, TX
ZIP 76401
Phone: (254) 965-1931

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance
  • CLIA Number: 45D1025491
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 05-09-2026

About STEPHENVILLE DENTAL, PLLC

This page provides the complete NPI Profile along with additional information for Stephenville Dental, Pllc, a provider established in Stephenville, Texas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1548643786 assigned on July 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 23695 (TX). The provider is registered as an organization and their NPI record was last updated 10 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 Everett C Evans (Dds, Owner)

NPI
1548643786
Provider Name
STEPHENVILLE DENTAL, PLLC
Entity Type
Organization
Location Address
100 WOLFE NURSERY RD 180 STEPHENVILLE, TX 76401
Location Phone
(254) 965-1931
Mailing Address
3600 E MCKINNEY ST 100 DENTON, TX 76209
Mailing Phone
(940) 808-1970
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2015
Last Update Date
07-07-2015
Code Navigator

A dentist like Stephenville Dental, Pllc 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
License No.
23695
License State
TX
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:

  • Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
  • Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO
  • 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.

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

EVERETT C EVANS

Authorized Official Title
DDS, OWNER
Authorized Official Phone
(940) 808-1970

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1025491
Facility Type
Ambulance
Certificate Effective Date
May 10, 2024
Certificate Expiration Date
May 09, 2026
Laboratory Director
JIMMY D. CHEW
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Stephenville Dental, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for STEPHENVILLE DENTAL, PLLC

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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.
1548643786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881246716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 4 + 6 + 7 + 1 + 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 = 66

The NPI number 1548643786 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376891887SMILE DESIGN PC
Organization
Dentist (General Practice)100 WOLFE NURSERY RD STE 190
STEPHENVILLE, TX 76401
(617) 281-7947
1134567316 SAMEER MEHTA
Individual
Dentist (General Practice)100 WOLFE NURSERY RD 180
STEPHENVILLE, TX 76401
(254) 965-1931
1487063343 ANKITA BANSAL
Individual
Dentist (General Practice)100 WOLFE NURSERY RD 190
STEPHENVILLE, TX 76401
(484) 431-9143
1700978079DR. ROBERT LANE REEDY DDS
Individual
Dentist100 WOLFE NURSERY RD STE 180
STEPHENVILLE, TX 76401
(254) 965-1931

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548643786, enumerated in the NPI registry as an "organization" on July 07, 2015

The provider is located at 100 Wolfe Nursery Rd 180 Stephenville, Tx 76401 and the phone number is (254) 965-1931

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

The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Arizona Complete. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 45D1025491 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 07, 2015. 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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