WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C.
NPI 1578976064
in Weatherford, TX

NPI Status: Active since June 03, 2014

Contact Information

114 W COLUMBIA ST
WEATHERFORD, TX
ZIP 76086
Phone: (817) 594-3806
Fax: (817) 596-5001

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  • Organization
  • CLIA Number: 45D2094930
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 04-26-2027

About WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C.

This page provides the complete NPI Profile along with additional information for Weatherford Cosmetic And Family Dentistry, P.c., a provider established in Weatherford, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1578976064 assigned on June 2014. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Deborah Romack D.d.s. (Owner)

NPI
1578976064
Provider Name
WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C.
Entity Type
Organization
Location Address
114 W COLUMBIA ST WEATHERFORD, TX 76086
Location Phone
(817) 594-3806
Location Fax
(817) 596-5001
Mailing Address
114 W COLUMBIA ST WEATHERFORD, TX 76086
Mailing Phone
(817) 594-3806
Mailing Fax
(817) 596-5001
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-03-2014
Last Update Date
10-27-2022
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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 State
TX

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.

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

DEBORAH ROMACK D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(817) 594-3806

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
7167150001OTHER (01)TXDME PTAN

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
45D2094930
Facility Type
Hospital
Certificate Effective Date
April 27, 2025
Certificate Expiration Date
April 26, 2027
Laboratory Director
MUPPIDI MADHAVI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Weatherford Cosmetic And Family Dentistry, P.c. 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 WEATHERFORD COSMETIC AND FAMILY DENTISTRY, P.C.

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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.
1578976064
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514818712012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 7 + 1 + 2 + 0 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1578976064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831351741DR. JAMES GARRETT MULKEY D.D.S.
Individual
Dentist (General Practice)114 W COLUMBIA ST
WEATHERFORD, TX 76086
(817) 594-3806
1821344615 ZACHARY A SMITH D. D. D.
Individual
Dentist (General Practice)114 W COLUMBIA ST
WEATHERFORD, TX 76086
(817) 594-3806
1992366116 ASHLEY ELAINE DECKER DDS
Individual
Dentist114 W COLUMBIA ST
WEATHERFORD, TX 76086
(682) 558-1446
1699847145WEATHERFORD COSMETIC & FAMILY DENTISTRY
Organization
Dentist (General Practice)114 W COLUMBIA ST
WEATHERFORD, TX 76086
(817) 594-3806
1790947604DR. DEBORAH A ROMACK D.D.S.
Individual
Durable Medical Equipment & Medical Supplies (Customized Equipment)114 W COLUMBIA ST
WEATHERFORD, TX 76086
(817) 594-3806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578976064, enumerated in the NPI registry as an "organization" on June 03, 2014

The provider is located at 114 W Columbia St Weatherford, Tx 76086 and the phone number is (817) 594-3806

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

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 45D2094930 for a "hospital" 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 June 03, 2014. 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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