DR. GORDON ROBERT OSBORN D.D.S.
NPI 1578511796
Dentist - Oral and Maxillofacial Surgery in Bakersfield, CA

NPI Status: Active since May 04, 2006

Contact Information

4260 TRUXTUN AVE
SUITE 150
BAKERSFIELD, CA
ZIP 93309
Phone: (661) 322-9885
Fax: (661) 322-7736

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Surgery
  • Opted-Out Medicare

About GORDON OSBORN

This page provides the complete NPI Profile along with additional information for Gordon Osborn, a provider established in Bakersfield, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1578511796 assigned on May 2006. The practitioner's primary taxonomy code is 1223S0112X with license number 29732 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1578511796
Provider Name
DR. GORDON ROBERT OSBORN D.D.S.
Gender
Male
Entity Type
Individual
Location Address
4260 TRUXTUN AVE SUITE 150 BAKERSFIELD, CA 93309
Location Phone
(661) 322-9885
Location Fax
(661) 322-7736
Mailing Address
4260 TRUXTUN AVE SUITE 150 BAKERSFIELD, CA 93309
Mailing Phone
(661) 322-9885
Mailing Fax
(661) 322-7736
Is Sole Proprietor?
Yes
Enumeration Date
05-04-2006
Last Update Date
03-07-2023
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A dentist like Gordon Osborn 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.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Gordon Osborn opted out of Medicare effective on 01-06-2017 until 01-06-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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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 Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
29732
License State
CA
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.

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
29732OTHER (01)CASTATE LICENSE NUMBER

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-06-2017

  • Opt-Out End Date: 01-06-2027

  • Eligible to Order and Refer? No

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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.
1578511796
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251481012718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 0 + 1 + 2 + 7 + 1 + 8 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1578511796 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578505079TRUXTUN SURGERY CENTER INC
Organization
Clinic/Center (Ambulatory Surgical)4260 TRUXTUN AVE SUITE 120
BAKERSFIELD, CA 93309
(661) 327-3636

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578511796, enumerated in the NPI registry as an "individual" on May 04, 2006

The provider is located at 4260 Truxtun Ave Suite 150 Bakersfield, Ca 93309 and the phone number is (661) 322-9885

The provider's speciality is 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.

No, the provider signed an affidavit on January 06, 2017 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 06, 2027.

This NPI record was last updated on May 04, 2006. 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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