SOUTHSIDE ORAL & FACIAL SURGERY
NPI 1801067285
Dentist - Oral and Maxillofacial Surgery in Chester, VA
NPI Status: Active since March 13, 2008
Contact Information
11971 IRON BRIDGE RD
CHESTER, VA
ZIP 23831
Phone: (804) 717-5275
Fax: (804) 748-4017
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- CLIA Number: 49D2163276
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-10-2027
About SOUTHSIDE ORAL & FACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Southside Oral & Facial Surgery, a provider established in Chester, Virginia operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1801067285 assigned on March 2008. The practitioner's primary taxonomy code is 1223S0112X with license number 4685 (VA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's former legal business name is Drs. O'neill, Trotter & Brinser. The authorized official of this NPI record is Dr. Bradley Scott Trotter D.d.s. (Dentist)
- NPI
- 1801067285
- Provider Legal Name
- SOUTHSIDE ORAL & FACIAL SURGERY
- Other Organization Name
- DRS. O'NEILL, TROTTER & BRINSER
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 11971 IRON BRIDGE RD CHESTER, VA 23831
- Location Phone
- (804) 717-5275
- Location Fax
- (804) 748-4017
- Mailing Address
- 11971 IRON BRIDGE RD CHESTER, VA 23831
- Mailing Phone
- (804) 717-5275
- Mailing Fax
- (804) 748-4017
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-13-2008
- Last Update Date
- 03-13-2008
- Code Navigator
A dentist like Southside Oral & Facial Surgery 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 Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 4685
- License State
- VA
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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.
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 |
|---|---|---|---|
| 386684 | OTHER (01) | ANTHEM BC&BS | |
| 001766B49 | MEDICARE PIN (08) | ||
| T21340 | MEDICARE UPIN (02) | ||
| 9185611 | MEDICAID (05) | VA | |
| U89753 | MEDICARE UPIN (02) | ||
| 386686 | OTHER (01) | ANTHEM BC&BS | |
| 005298 | OTHER (01) | ANTHEM BC&BS | |
| 386682 | OTHER (01) | ANTHEM BC&BS | |
| 005299 | OTHER (01) | ANTHEM BC&BS | |
| U95426 | MEDICARE UPIN (02) | ||
| 9179952 | MEDICAID (05) | VA | |
| 219900 | OTHER (01) | ANTHEM BC&BS | |
| T21820 | MEDICARE UPIN (02) | ||
| 9202377 | MEDICAID (05) | VA | |
| 190000595 | MEDICARE PIN (08) | ||
| 197612260 | MEDICARE PIN (08) | ||
| 259641 | OTHER (01) | ANTHEM BC&BS | |
| 219899 | OTHER (01) | ANTHEM BC&BS | |
| 9185610 | MEDICAID (05) | VA | |
| 850000006 | MEDICARE PIN (08) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2163276
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- KATRI FRENCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Southside Oral & Facial Surgery to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SOUTHSIDE ORAL & FACIAL SURGERY
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 | 8 | 0 | 1 | 0 | 6 | 7 | 2 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 0 | 6 | 14 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 0 + 6 + 1 + 4 + 2 + 1 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1801067285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932137825 | DR. BRADLEY S TROTTER DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 11971 IRON BRIDGE RD CHESTER, VA 23831 (804) 717-5275 |
| 1548298052 | DR. PAUL W BRINSER III DDS Individual | Dentist (Oral and Maxillofacial Surgery) | 11971 IRON BRIDGE RD CHESTER, VA 23831 (804) 717-5275 |
| 1497424485 | CHESTER ORAL SURGERY, PC Organization | Dentist (Oral and Maxillofacial Surgery) | 11971 IRON BRIDGE RD CHESTER, VA 23831 (804) 748-6350 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801067285, enumerated in the NPI registry as an "organization" on March 13, 2008
The provider is located at 11971 Iron Bridge Rd Chester, Va 23831 and the phone number is (804) 717-5275
This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Anthem Blue Cross, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 49D2163276 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 13, 2008. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.