YELLOW SPRINGS DENTAL CARE JOHN T RUSSELL DDS INC.
NPI 1568684140
Clinic/Center - Dental in Yellow Springs, OH

NPI Status: Active since May 03, 2007

Contact Information

1030 XENIA AVE
YELLOW SPRINGS, OH
ZIP 45387
Phone: (937) 767-7731

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About YELLOW SPRINGS DENTAL CARE JOHN T RUSSELL DDS INC.

This page provides the complete NPI Profile along with additional information for Yellow Springs Dental Care John T Russell Dds Inc., a provider established in Yellow Springs, Ohio operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568684140 assigned on May 2007. The practitioner's primary taxonomy code is 261QD0000X with license number 30.013562 (OH). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's former legal business name is Yellow Springs Dental Care. The authorized official of this NPI record is Dr. John T Russell Dds (Clinician)

NPI
1568684140
Provider Legal Name
YELLOW SPRINGS DENTAL CARE JOHN T RUSSELL DDS INC.
Other Organization Name
YELLOW SPRINGS DENTAL CARE
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
1030 XENIA AVE YELLOW SPRINGS, OH 45387
Location Phone
(937) 767-7731
Mailing Address
1030 XENIA AVE PO BOX 839 YELLOW SPRINGS, OH 45387
Mailing Phone
(937) 767-7731
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
05-19-2010
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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.
30.013562
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + 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
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO

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

DR. JOHN T RUSSELL DDS

Authorized Official Title
CLINICIAN
Authorized Official Phone
(937) 767-7731

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
30.013562OTHER (01)OHSTATE
1679511489OTHER (01)OHNPI
DN16600OTHER (01)FLSTATE

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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.
1568684140
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128128818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 8 + 8 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1568684140 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 1568684140, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 1030 Xenia Ave Yellow Springs, Oh 45387 and the phone number is (937) 767-7731

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

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Medicare. 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 May 03, 2007. 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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