PLAINFIELD ORAL & MAXILLOFACIAL SURGERY
NPI 1568907582
Dentist - Oral and Maxillofacial Surgery in Plainfield, IN
NPI Status: Active since December 29, 2016
Contact Information
803 EDWARDS DR
PLAINFIELD, IN
ZIP 46168
Phone: (317) 527-0066
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- CLIA Number: 15D0886720
- CLIA Cert. Type: Prison
- CLIA Exp. Date: 05-25-2026
About PLAINFIELD ORAL & MAXILLOFACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Plainfield Oral & Maxillofacial Surgery, a provider established in Plainfield, Indiana operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1568907582 assigned on December 2016. The practitioner's primary taxonomy code is 1223S0112X with license number 12010748A (IN). The provider is registered as an organization and their NPI record was last updated 9 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 Ruth Lee (Practice Administrator)
- NPI
- 1568907582
- Provider Name
- PLAINFIELD ORAL & MAXILLOFACIAL SURGERY
- Entity Type
- Organization
- Location Address
- 803 EDWARDS DR PLAINFIELD, IN 46168
- Location Phone
- (317) 527-0066
- Mailing Address
- 803 EDWARDS DR PLAINFIELD, IN 46168
- Mailing Phone
- (317) 527-0066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-29-2016
- Last Update Date
- 12-29-2016
- Code Navigator
A dentist like Plainfield Oral & Maxillofacial Surgery 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 Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 12010748A
- License State
- IN
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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.
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.
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 |
|---|---|---|---|
| 200932660 | MEDICAID (05) | IN | |
| 268030Q | MEDICARE PIN (08) |
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
- 15D0886720
- Facility Type
- Prison
- Certificate Effective Date
- May 26, 2024
- Certificate Expiration Date
- May 25, 2026
- Laboratory Director
- ARNICIA BROWN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Plainfield Oral & Maxillofacial Surgery 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 PLAINFIELD ORAL & MAXILLOFACIAL SURGERY
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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. | |||||||||
| 1 | 5 | 6 | 8 | 9 | 0 | 7 | 5 | 8 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 18 | 0 | 14 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 8 + 0 + 1 + 4 + 5 + 1 + 6 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1568907582 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164680831 | DR. RAYMOND W. LEE DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 803 EDWARDS DR PLAINFIELD, IN 46168 (317) 527-0066 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568907582, enumerated in the NPI registry as an "organization" on December 29, 2016
The provider is located at 803 Edwards Dr Plainfield, In 46168 and the phone number is (317) 527-0066
This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
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.
The provider's CLIA number is 15D0886720 for a "prison" 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 December 29, 2016. 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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