JULIE KOLSTAD CLARK
NPI 1609589837
Denturist in Roseburg, OR

NPI Status: Active since January 03, 2023

Contact Information

150 NE KENNETH FORD DR
ROSEBURG, OR
ZIP 97470
Phone: (541) 672-9596

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  • Individual
  • Female
  • Denturist
  • Accepts Insurance

About JULIE CLARK

This page provides the complete NPI Profile along with additional information for Julie Clark, a provider established in Roseburg, Oregon with a medical specialization in Denturist. The healthcare provider is registered in the NPI registry with number 1609589837 assigned on January 2023. The practitioner's primary taxonomy code is 122400000X with license number DT-TMP-10228509 (OR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1609589837
Provider Name
JULIE KOLSTAD CLARK
Gender
Female
Entity Type
Individual
Location Address
150 NE KENNETH FORD DR ROSEBURG, OR 97470
Location Phone
(541) 672-9596
Mailing Address
847 SE BLAKELEY AVE ROSEBURG, OR 97470
Mailing Phone
(541) 817-2181
Is Sole Proprietor?
Yes
Enumeration Date
01-03-2023
Last Update Date
01-03-2023
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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

Denturist

Taxonomy Code
122400000X
Type
Dental Providers
License No.
DT-TMP-10228509
License State
OR
Taxonomy Description
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Insurance Plans Accepted

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

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network - EPO
  • Bronze HSA 7000 Individual and Family Network - EPO
  • Gold 2300 Individual and Family Network - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual and Family Network - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual and Family Network - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual and Family Network - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6200 Individual and Family Network - EPO
  • Silver 6200 Legacy - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for JULIE KOLSTAD CLARK

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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.
1609589837
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26091081886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 1 + 0 + 8 + 1 + 8 + 8 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1609589837 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578654661DR. THERESA MARIE LUNDY MD
Individual
Internal Medicine150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1295139863 CHAD PADOVICH FNP
Individual
Nurse Practitioner (Family)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1154702132 ANTHONY ROYAL DMD
Individual
Dentist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1306873393 ROBERT LOUIS DANNENHOFFER MD
Individual
Pediatrics150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1851660344 NATALIE ANN JONES FNP
Individual
Nurse Practitioner (Family)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1134640360DR. DANIEL B MCMASTER DMD
Individual
Dentist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1508383282MRS. CYNTHIA BLINN STEELE MSN, FNP-BC
Individual
Pediatrics150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1295247666MS. TERESA DOVE BS, RDH, EPDH
Individual
Dental Hygienist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1225214489 JAY JONATHAN RICHARDS DO
Individual
Family Medicine150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1821496001 ARIELLE ILLIA
Individual
Dental Hygienist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1396132775MRS. KIM ANNETTE SMITH LPC
Individual
Counselor (Professional)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1568732857 RACHELLE LYNN WELLS CPNP-PC
Individual
Nurse Practitioner (Pediatrics)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1417119207DR. ROSELLEN E KIMBROUGH DDS
Individual
Dentist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1689742298DR. DONALD RANDOL D.D.S.
Individual
Dentist (General Practice)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1801881974DR. JOE WAYNE HOWARD JR. D.D.S.
Individual
Dentist150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1831611052 CHELSEA LYNN WOLD LCSW
Individual
Social Worker (Clinical)150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1013536382DR. JOHN TRAVIS MELLING MD
Individual
Family Medicine150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1144822644 VALERIE RENEE COOPER FNP-C
Individual
Nurse Practitioner150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 580-1148
1750878484 TSZ HO WONG
Individual
Family Medicine150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596
1114668449DR. OBIAGERI EGEOLU MD
Individual
Family Medicine150 NE KENNETH FORD DR
ROSEBURG, OR 97470
(541) 672-9596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609589837, enumerated in the NPI registry as an "individual" on January 03, 2023

The provider is located at 150 Ne Kenneth Ford Dr Roseburg, Or 97470 and the phone number is (541) 672-9596

The provider's speciality is Denturist with taxonomy code 122400000X

The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. 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 January 03, 2023. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.