MR. JOHN EUGENE DOUGHERTY DMD
NPI 1760462543
Dentist - General Practice in Portland, OR

NPI Status: Active since January 18, 2006

Contact Information

1809 NW DAVIS ST
PORTLAND, OR
ZIP 97209
Phone: (503) 221-1973

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  • Individual
  • Male
  • Dentist
  • General Practice

About JOHN DOUGHERTY

This page provides the complete NPI Profile along with additional information for John Dougherty, a provider established in Portland, Oregon with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1760462543 assigned on January 2006. The practitioner's primary taxonomy code is 1223G0001X with license number 4716 (OR). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1760462543
Provider Name
MR. JOHN EUGENE DOUGHERTY DMD
Gender
Male
Entity Type
Individual
Location Address
1809 NW DAVIS ST PORTLAND, OR 97209
Location Phone
(503) 221-1973
Mailing Address
1809 NW DAVIS ST PORTLAND, OR 97209
Mailing Phone
(503) 221-1973
Is Sole Proprietor?
Yes
Enumeration Date
01-18-2006
Last Update Date
07-09-2007
Code Navigator

A dentist like John Dougherty 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.
4716
License State
OR
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.

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
0000NGPJMEDICARE ID-TYPE UNSPECIFIED (04)ORMEDICARE
0000NGPJMEDICAID (05)OR 

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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.
1760462543
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2712086458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 8 + 6 + 4 + 5 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1760462543 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851455018 CHAD THOMAS WARKENTIN LMT
Individual
Massage Therapist1809 NW DAVIS ST
PORTLAND, OR 97209
(503) 226-8010
1962550418MR. JONATHAN D RAGEL LMT
Individual
Massage Therapist1809 NW DAVIS ST
PORTLAND, OR 97209
(503) 226-8010
1265711097DR. SCOTT HANSEN DOUGERTY DMD
Individual
Dentist1809 NW DAVIS ST
PORTLAND, OR 97209
(503) 939-1001
1730517418DR. ANDREW LAYBOURN D.M.D.
Individual
Dentist1809 NW DAVIS ST
PORTLAND, OR 97209
(503) 221-1973

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760462543, enumerated in the NPI registry as an "individual" on January 18, 2006

The provider is located at 1809 Nw Davis St Portland, Or 97209 and the phone number is (503) 221-1973

The provider's speciality is 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 January 18, 2006. 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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