FENTON FAMILY DENTISTRY
NPI 1831349232
Preferred Provider Organization in Fenton, MO

NPI Status: Active since September 23, 2008

Contact Information

552 OLD SMIZER MILL RD
FENTON, MO
ZIP 63026
Phone: (636) 326-7633

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  • Preferred Provider Organization

About FENTON FAMILY DENTISTRY

This page provides the complete NPI Profile along with additional information for Fenton Family Dentistry, a provider established in Fenton, Missouri operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1831349232 assigned on September 2008. The practitioner's primary taxonomy code is 305R00000X with license number 2002016551 (MO). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Fenton Family Dentistry. The authorized official of this NPI record is Dr. Jessica C. Nieva Dds (Dentist/president)

NPI
1831349232
Provider Legal Name
JESSICA C. NIEVA DDS P.C.
Other Organization Name
FENTON FAMILY DENTISTRY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
552 OLD SMIZER MILL RD FENTON, MO 63026
Location Phone
(636) 326-7633
Mailing Address
552 OLD SMIZER MILL RD FENTON, MO 63026
Mailing Phone
(636) 326-7633
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2008
Last Update Date
09-23-2008
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
2002016551
License State
MO
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. JESSICA C. NIEVA DDS

Authorized Official Title
DENTIST/PRESIDENT
Authorized Official Phone
(636) 326-7633

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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.
1831349232
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2861641826
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 6 + 4 + 1 + 8 + 2 + 6 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1831349232 is valid because the calculated check digit 2 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
1215046966MR. GREGORY PETER NICHOLAS MPT
Individual
Physical Therapist552 OLD SMIZER MILL RD
FENTON, MO 63026
(636) 349-8060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831349232, enumerated in the NPI registry as an "organization" on September 23, 2008

The provider is located at 552 Old Smizer Mill Rd Fenton, Mo 63026 and the phone number is (636) 326-7633

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on September 23, 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].
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