CHRISTUS COUSHATTA DENTAL CLINIC
NPI 1790767267
Clinic/Center - Dental in Coushatta, LA

NPI Status: Active since November 18, 2005

Contact Information

1401 INDUSTRIAL DR
COUSHATTA, LA
ZIP 71019
Phone: (318) 932-2100
Fax: (318) 932-2010

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About CHRISTUS COUSHATTA DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Christus Coushatta Dental Clinic, a provider established in Coushatta, Louisiana operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1790767267 assigned on November 2005. The practitioner's primary taxonomy code is 261QD0000X with license number 551RHC-1 (LA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Christus Coushatta Dental Clinic. The authorized official of this NPI record is Monte Wilson (Ceo)

NPI
1790767267
Provider Legal Name
CHRISTUS HEALTH CENTRAL LOUISIANA
Other Organization Name
CHRISTUS COUSHATTA DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1401 INDUSTRIAL DR COUSHATTA, LA 71019
Location Phone
(318) 932-2100
Location Fax
(318) 932-2010
Mailing Address
PO BOX 847329 DALLAS, TX 75284
Mailing Phone
(800) 756-7999
Mailing Fax
(318) 932-2010
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2005
Last Update Date
10-20-2022
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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
License No.
551RHC-1
License State
LA

Insurance Plans Accepted

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

  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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.

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

MONTE WILSON

Authorized Official Title
CEO
Authorized Official Phone
(337) 470-2100

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
1880795MEDICAID (05)LA 

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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.
1790767267
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718014614212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 4 + 2 + 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 = 77

The NPI number 1790767267 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598867806DR. DANIEL EDWARD ROSE DDS
Individual
Dentist (General Practice)1401 INDUSTRIAL DR
COUSHATTA, LA 71019
(318) 932-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790767267, enumerated in the NPI registry as an "organization" on November 18, 2005

The provider is located at 1401 Industrial Dr Coushatta, La 71019 and the phone number is (318) 932-2100

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

The provider might be accepting Accepts: DentaQuest- LA, UnitedHealthcare, Medicare and. 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 November 18, 2005. 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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