PACIFIC DENTAL CENTER
NPI 1790429983
Clinic/Center - Dental in Pacific, MO

NPI Status: Active since April 24, 2022

Contact Information

305 E OSAGE ST STE 3
PACIFIC, MO
ZIP 63069
Phone: (636) 257-3997

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About PACIFIC DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Pacific Dental Center, a provider established in Pacific, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1790429983 assigned on April 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Carl Graves Dds (Dds)

NPI
1790429983
Provider Name
PACIFIC DENTAL CENTER
Entity Type
Organization
Location Address
305 E OSAGE ST STE 3 PACIFIC, MO 63069
Location Phone
(636) 257-3997
Mailing Address
921 LAKELAND DR PACIFIC, MO 63069
Mailing Phone
(850) 712-2307
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2022
Last Update Date
04-27-2022
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision - EPO
  • Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - EPO

*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

CARL GRAVES DDS

Authorized Official Title
DDS
Authorized Official Phone
(850) 712-2307

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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.
1790429983
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271808218916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 8 + 2 + 1 + 8 + 9 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1790429983 is valid because the calculated check digit 3 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 1790429983, enumerated in the NPI registry as an "organization" on April 24, 2022

The provider is located at 305 E Osage St Ste 3 Pacific, Mo 63069 and the phone number is (636) 257-3997

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: Aetna CVS Health. 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 April 24, 2022. 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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