CC DENTAL PC
NPI 1851569297
Clinic/Center - Dental in Ft Worth, TX

NPI Status: Active since February 20, 2008

Contact Information

1051 HASKELL ST
FT WORTH, TX
ZIP 76107
Phone: (817) 737-8731

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  • Organization
  • Clinic/Center
  • Dental

About CC DENTAL PC

This page provides the complete NPI Profile along with additional information for Cc Dental Pc, a provider established in Ft Worth, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1851569297 assigned on February 2008. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Ty Douglas Shafer Dds (Owner)

NPI
1851569297
Provider Name
CC DENTAL PC
Entity Type
Organization
Location Address
1051 HASKELL ST FT WORTH, TX 76107
Location Phone
(817) 737-8731
Mailing Address
PO BOX 93653 SOUTHLAKE, TX 76092
Mailing Phone
(817) 737-8731
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2008
Last Update Date
02-20-2008
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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. TY DOUGLAS SHAFER DDS

Authorized Official Title
OWNER
Authorized Official Phone
(817) 737-8731

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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.
1851569297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2810110618218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 6 + 1 + 8 + 2 + 1 + 8 + 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 1851569297 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306946934DR. JAY BECKWITH D.O.
Individual
Internal Medicine (Gastroenterology)1051 HASKELL ST 208
FORT WORTH, TX 76107
(817) 737-3166
1760653620JAY G. BECKWITH, D.O., P.A.
Organization
Internal Medicine (Gastroenterology)1051 HASKELL ST 208
FORT WORTH, TX 76107
(817) 737-3166

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851569297, enumerated in the NPI registry as an "organization" on February 20, 2008

The provider is located at 1051 Haskell St Ft Worth, Tx 76107 and the phone number is (817) 737-8731

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

This NPI record was last updated on February 20, 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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