MS. JACKLYN ALIZA PIVOVAROV DDS
NPI 1790346229
Dentist - General Practice in Princess Anne, MD
NPI Status: Active since June 25, 2019
Contact Information
12165 ELM ST
PRINCESS ANNE, MD
ZIP 21853
Phone: (410) 651-5151
Fax: (410) 651-4256
- Individual
- Female
- Dentist
- General Practice
About JACKLYN PIVOVAROV
This page provides the complete NPI Profile along with additional information for Jacklyn Pivovarov, a provider established in Princess Anne, Maryland with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1790346229 assigned on June 2019. The practitioner's primary taxonomy code is 1223G0001X with license number LL857 (MD). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1790346229
- Provider Name
- MS. JACKLYN ALIZA PIVOVAROV DDS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12165 ELM ST PRINCESS ANNE, MD 21853
- Location Phone
- (410) 651-5151
- Location Fax
- (410) 651-4256
- Mailing Address
- PO BOX 1978 SALISBURY, MD 21802
- Mailing Phone
- (410) 749-1015
- Mailing Fax
- (410) 651-4256
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-25-2019
- Last Update Date
- 07-09-2019
- Code Navigator
A dentist like Jacklyn Pivovarov 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.
- LL857
- License State
- MD
- 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 |
|---|---|---|---|
| 119591300 | MEDICAID (05) | MD |
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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 | 9 | 0 | 3 | 4 | 6 | 2 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 6 | 4 | 12 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 6 + 4 + 1 + 2 + 2 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1790346229 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1902881105 | DR. ELIZABETH MIL-JIN SHIN D.D.S. Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1427352129 | ALISSA KATHERINE CRUMP Individual | Dental Hygienist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1487959151 | KELLY LYNN HADAY RDH Individual | Dental Hygienist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1750690095 | AMANDA LYN MACHUZAK RDH Individual | Dental Hygienist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1780779496 | DR. TRINA COLLINS DDS Individual | Dentist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1558776179 | RICKY ALLAN MASON D.D.S Individual | Dentist (General Practice) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1740508613 | DR. JEREMY KEITH MASENIOR DDS Individual | Dentist (General Practice) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1710394630 | MS. MICHELLE ANN CONNOR RDH Individual | Dental Hygienist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1538541115 | DR. ERIC TIMOTHY BAKER DDS Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1629437462 | DR. CHARNIECE NICHOLE WHITAKER DDS Individual | Dentist (General Practice) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1528590452 | DR. GURJOTE DHALIWAL DMD Individual | Student in an Organized Health Care Education/Training Program | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1811356488 | DR. RHODERICK BLASCO DDS Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1639538168 | DR. CATHERINE RITA KOLASNY D.D.S. Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1164881439 | DR. JASPREET K GHUMAN DMD Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1386145118 | DR. KARISHMA DILIP PATEL DDS Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1790287506 | DR. JOSEPH SHINE DIBENEDETTO DMD Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1205331840 | DR. KRISTEN LEA HYLAND DDS Individual | Dentist (General Practice) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1285911222 | DR. MARIELLA DE STEFANO DDS Individual | Dentist (Pediatric Dentistry) | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1346595444 | MATTHEW ANDERSON DDS Individual | Dentist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
| 1386999605 | DR. JESSICA ASHLEY HARRISON DDS Individual | Dentist | 12165 ELM ST PRINCESS ANNE, MD 21853 (410) 651-5151 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790346229, enumerated in the NPI registry as an "individual" on June 25, 2019
The provider is located at 12165 Elm St Princess Anne, Md 21853 and the phone number is (410) 651-5151
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 June 25, 2019. 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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