DR. JESSE S CARMEN D.D.S.
NPI 1740698117
Dentist - Orthodontics and Dentofacial Orthopedics in Columbus, OH
NPI Status: Active since July 29, 2014
Contact Information
5225 EAST MAIN ST.
COLUMBUS, OH
ZIP 43213
Phone: (614) 864-5555
Fax: (614) 759-4444
- Individual
- Male
- Dentist
- Orthodontics and Dentofacial Orthopedics
- Accepts Insurance
- Opted-Out Medicare
About JESSE CARMEN
This page provides the complete NPI Profile along with additional information for Jesse Carmen, a provider established in Columbus, Ohio with a medical specialization in Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1740698117 assigned on July 2014. The practitioner's primary taxonomy code is 1223X0400X with license number 23029 (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1740698117
- Provider Name
- DR. JESSE S CARMEN D.D.S.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5225 EAST MAIN ST. COLUMBUS, OH 43213
- Location Phone
- (614) 864-5555
- Location Fax
- (614) 759-4444
- Mailing Address
- 5225 EAST MAIN ST. COLUMBUS, OH 43213
- Mailing Phone
- (614) 864-5555
- Mailing Fax
- (614) 759-4444
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-29-2014
- Last Update Date
- 07-29-2014
- Code Navigator
A dentist like Jesse Carmen 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jesse Carmen opted out of Medicare effective on 06-25-2014 until 06-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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 Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
- Type
- Dental Providers
- License No.
- 23029
- License State
- OH
- Taxonomy Description
- That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-25-2014
Opt-Out End Date: 06-25-2026
Eligible to Order and Refer? No
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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 | 4 | 0 | 6 | 9 | 8 | 1 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 8 | 0 | 12 | 9 | 16 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 8 + 0 + 1 + 2 + 9 + 1 + 6 + 1 + 2 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1740698117 is valid because the calculated check digit 7 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 1740698117, enumerated in the NPI registry as an "individual" on July 29, 2014
The provider is located at 5225 East Main St. Columbus, Oh 43213 and the phone number is (614) 864-5555
The provider's speciality is Dentist with taxonomy code 1223X0400X with a focus in Orthodontics and Dentofacial Orthopedics
The provider might be accepting Accepts: Delta Dental of Ohio. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on June 25, 2014 to opt-out of the Medicare program. The provider is excluded from the Medicare program until June 25, 2026.
This NPI record was last updated on July 29, 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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