BRETT B. DIETERLEN D.D.S., P.C.
NPI 1669648721
Preferred Provider Organization in Tulsa, OK

NPI Status: Active since May 07, 2008

Contact Information

3015 E 91ST ST
TULSA, OK
ZIP 74137
Phone: (918) 299-2400

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  • Organization
  • Preferred Provider Organization

About BRETT B. DIETERLEN D.D.S., P.C.

This page provides the complete NPI Profile along with additional information for Brett B. Dieterlen D.d.s., P.c., a provider established in Tulsa, Oklahoma operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1669648721 assigned on May 2008. The practitioner's primary taxonomy code is 305R00000X with license number 5167 (OK). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Brett B. Dieterlen D.d.s.,p.c. (Owner/dentist)

NPI
1669648721
Provider Name
BRETT B. DIETERLEN D.D.S., P.C.
Entity Type
Organization
Location Address
3015 E 91ST ST TULSA, OK 74137
Location Phone
(918) 299-2400
Mailing Address
3015 E 91ST ST TULSA, OK 74137
Mailing Phone
(918) 299-2400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2008
Last Update Date
05-07-2008
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
5167
License State
OK
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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. BRETT B. DIETERLEN D.D.S.,P.C.

Authorized Official Title
OWNER/DENTIST
Authorized Official Phone
(918) 299-2400

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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.
1669648721
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291241674
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 2 + 4 + 1 + 6 + 7 + 4 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1669648721 is valid because the calculated check digit 1 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
1568477271DR. BRETT BUCHANAN DIETERLEN D.D.S.,B.S.
Individual
Dentist3015 E 91ST ST
TULSA, OK 74137
(918) 299-2400

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669648721, enumerated in the NPI registry as an "organization" on May 07, 2008

The provider is located at 3015 E 91st St Tulsa, Ok 74137 and the phone number is (918) 299-2400

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on May 07, 2008. 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.