SPANG SOUTH DENTAL CLINIC
NPI 1720245491
Dentist - General Practice in Chicago, IL
NPI Status: Active since May 20, 2008
Contact Information
641 W 63RD ST
CHICAGO, IL
ZIP 60621
Phone: (773) 488-4277
Fax: (773) 488-4292
- Organization
- Dentist
- General Practice
About SPANG SOUTH DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Spang South Dental Clinic, a provider established in Chicago, Illinois operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720245491 assigned on May 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 016 (IL). The provider is registered as an organization and their NPI record was last updated 17 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 other name is Spang South Dental Clinic. The authorized official of this NPI record is Heidi Nelson (Controller)
- NPI
- 1720245491
- Provider Legal Name
- HEARTLAND HEALTH OUTREACH
- Other Organization Name
- SPANG SOUTH DENTAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 641 W 63RD ST CHICAGO, IL 60621
- Location Phone
- (773) 488-4277
- Location Fax
- (773) 488-4292
- Mailing Address
- 4750 N SHERIDAN RD #434 CHICAGO, IL 60640
- Mailing Phone
- (773) 751-1704
- Mailing Fax
- (773) 488-4292
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-20-2008
- Last Update Date
- 05-20-2008
- Code Navigator
A dentist like Spang South Dental Clinic 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.
Location Map
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
- License No.
- 016
- License State
- IL
- 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:
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 |
|---|---|---|---|
| 016 | MEDICAID (05) | IL | |
| 103348 | OTHER (01) | IL | DORAL DENTAL |
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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. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 4 | 5 | 4 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 4 | 10 | 4 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 4 + 1 + 0 + 4 + 1 + 8 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1720245491 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871595256 | CITY OF CHICAGO Organization | Clinic/Center (Community Health) | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7831 |
| 1316168412 | JENINE LEE CHILES PSY.D. Individual | Psychologist (Clinical) | 641 W 63RD ST SPECIALTY CLINIC, LOWER LEVEL CHICAGO, IL 60621 (312) 745-0662 |
| 1942499983 | MS. CAROLYN JEAN PAIGE NURSE PRACTITIONER Individual | Nurse Practitioner (Adult Health) | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-8900 |
| 1568788875 | CHICAGO DEPARTMENT OF PUBLIC HEALTH Organization | Clinic/Center (Community Health) | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7831 |
| 1205147717 | CITY OF CHICAGO Organization | Clinic/Center (Adult Mental Health) | 641 W 63RD ST L33 CHICAGO, IL 60621 (312) 747-7496 |
| 1730490269 | MR. ROBERT L. STEWARD LSW Individual | Social Worker | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7496 |
| 1306147491 | JOANNE JONES LCSW Individual | Social Worker (Clinical) | 641 W 63RD ST L33 CHICAGO, IL 60621 (312) 747-7496 |
| 1386083665 | MRS. OTHELLA BANNER LCPC Individual | Counselor | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7496 |
| 1689002339 | AMANDA THOMPSON Individual | Counselor (Mental Health) | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7496 |
| 1417245861 | MS. KRISTEN NICOLE KENAN M.D. Individual | Pediatrics | 641 W 63RD ST CHICAGO, IL 60621 (312) 996-2000 |
| 1558682187 | DANIEL JEAN M.A Individual | Counselor (Professional) | 641 W 63RD ST CHICAGO, IL 60621 (312) 747-7496 |
| 1447770060 | DR. CAITLIN GRACE WILLIAMS PSY.D., LCP Individual | Psychologist (Clinical) | 641 W 63RD ST CHICAGO, IL 60621 (773) 388-1600 |
| 1750889945 | KENYA SPANN Individual | Counselor (Professional) | 641 W 63RD ST CHICAGO, IL 60621 (708) 491-1306 |
| 1386126159 | BRITT ELIZABETH HODGDON LCSW Individual | Social Worker (Clinical) | 641 W 63RD ST CHICAGO, IL 60621 (773) 388-1600 |
| 1558837922 | BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS Organization | Case Management | 641 W 63RD ST CHICAGO, IL 60621 (312) 413-4070 |
| 1548728686 | KYNDRIA TISDALE Individual | Counselor (Mental Health) | 641 W 63RD ST CHICAGO, IL 60621 (312) 550-6774 |
| 1043778004 | CORETTA J PRUITT Individual | Case Manager/Care Coordinator | 641 W 63RD ST CHICAGO, IL 60621 (224) 531-7966 |
| 1316274012 | DALE K BENTON NP Individual | Nurse Practitioner (Family) | 641 W 63RD ST CHICAGO, IL 60621 (312) 996-2000 |
| 1306292271 | WINNIE LIN Individual | Pediatrics | 641 W 63RD ST CHICAGO, IL 60621 (312) 996-2000 |
| 1568454700 | CHICAGO DEPARTMENT OF PUBLIC HEALTH Organization | Clinic/Center (Mental Health (Including Community Mental Health Center)) | 641 W 63RD ST ENGLEWOOD MENTAL HEALTH CENTER GROUND FLOOR CHICAGO, IL 60621 (312) 747-7496 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720245491, enumerated in the NPI registry as an "organization" on May 20, 2008
The provider is located at 641 W 63rd St Chicago, Il 60621 and the phone number is (773) 488-4277
This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice
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.
This NPI record was last updated on May 20, 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].
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