MIDWEST DENTAL
NPI 1710357520
Dentist - General Practice in Eagan, MN

NPI Status: Active since October 06, 2015

Contact Information

1625 LENA CT
SUITE 100
EAGAN, MN
ZIP 55122
Phone: (651) 452-4111
Fax: (651) 452-8824

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About MIDWEST DENTAL

This page provides the complete NPI Profile along with additional information for Midwest Dental, a provider established in Eagan, Minnesota operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1710357520 assigned on October 2015. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 10 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 provider's is doing business as Midwest Dental. The authorized official of this NPI record is Jeffrey W. Moos Dds (Owner)

NPI
1710357520
Provider Legal Name
MODERN DENTAL PROFESSIONALS, MN PC
Other Organization Name
MIDWEST DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1625 LENA CT SUITE 100 EAGAN, MN 55122
Location Phone
(651) 452-4111
Location Fax
(651) 452-8824
Mailing Address
1625 LENA CT SUITE 100 EAGAN, MN 55122
Mailing Phone
(651) 452-4111
Mailing Fax
(651) 452-8824
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2015
Last Update Date
10-06-2015
Code Navigator

A dentist like Midwest Dental 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.

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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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*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

JEFFREY W. MOOS DDS

Authorized Official Title
OWNER
Authorized Official Phone
(715) 829-2791

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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.
1710357520
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720651454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 5 + 1 + 4 + 5 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1710357520 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710357520, enumerated in the NPI registry as an "organization" on October 06, 2015

The provider is located at 1625 Lena Ct Suite 100 Eagan, Mn 55122 and the phone number is (651) 452-4111

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare. 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 October 06, 2015. 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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