CRAIG KOSTRUBALA DDS LLC
NPI 1548651110
Dentist in Alsip, IL

NPI Status: Active since February 18, 2015

Contact Information

11107 S LAWLER AVE
ALSIP, IL
ZIP 60803
Phone: (708) 346-9600

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  • Organization
  • Dentist

About CRAIG KOSTRUBALA DDS LLC

This page provides the complete NPI Profile along with additional information for Craig Kostrubala Dds Llc, a provider established in Alsip, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1548651110 assigned on February 2015. The practitioner's primary taxonomy code is 122300000X with license number 019023283 (IL). The provider is registered as an organization and their NPI record was last updated 11 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 Craig Kostrubala Dds (Owner)

NPI
1548651110
Provider Name
CRAIG KOSTRUBALA DDS LLC
Entity Type
Organization
Location Address
11107 S LAWLER AVE ALSIP, IL 60803
Location Phone
(708) 346-9600
Mailing Address
11107 S LAWLER AVE ALSIP, IL 60803
Mailing Phone
(708) 346-9600
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-18-2015
Last Update Date
02-18-2015
Code Navigator

A dentist like Craig Kostrubala Dds Llc 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.

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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

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
019023283
License State
IL
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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

CRAIG KOSTRUBALA DDS

Authorized Official Title
OWNER
Authorized Official Phone
(708) 346-9600

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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.
1548651110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588125212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 2 + 5 + 2 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1548651110 is valid because the calculated check digit 0 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 1548651110, enumerated in the NPI registry as an "organization" on February 18, 2015

The provider is located at 11107 S Lawler Ave Alsip, Il 60803 and the phone number is (708) 346-9600

This medical organization specializes in Dentist with taxonomy code 122300000X

This NPI record was last updated on February 18, 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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