CHICKASHA DENTAL GROUP PLLC
NPI 1922578384
Dentist - General Practice in Chickasha, OK

NPI Status: Active since November 28, 2018

Contact Information

823 W CHICKASHA AVE
CHICKASHA, OK
ZIP 73018
Phone: (405) 224-1727

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance
  • CLIA Number: 37D1048373
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 11-29-2025

About CHICKASHA DENTAL GROUP PLLC

This page provides the complete NPI Profile along with additional information for Chickasha Dental Group Pllc, a provider established in Chickasha, Oklahoma operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1922578384 assigned on November 2018. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 7 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 authorized official of this NPI record is Brandi Ann Williams (Clinical Director)

NPI
1922578384
Provider Name
CHICKASHA DENTAL GROUP PLLC
Entity Type
Organization
Location Address
823 W CHICKASHA AVE CHICKASHA, OK 73018
Location Phone
(405) 224-1727
Mailing Address
3901 E COVELL RD EDMOND, OK 73034
Mailing Phone
(405) 224-1727
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-28-2018
Last Update Date
11-28-2018
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A dentist like Chickasha Dental Group Pllc 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.

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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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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:

  • 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

*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

BRANDI ANN WILLIAMS

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(405) 250-2255

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
37D1048373
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
November 30, 2023
Certificate Expiration Date
November 29, 2025
Laboratory Director
CHRIS SHOLUR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Chickasha Dental Group Pllc 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 CHICKASHA DENTAL GROUP PLLC

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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.
1922578384
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
294210716316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 0 + 7 + 1 + 6 + 3 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1922578384 is valid because the calculated check digit 4 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
1295945814JONATHON V. THOMAS, DDS
Organization
Dentist (General Practice)823 W CHICKASHA AVE
CHICKASHA, OK 73018
(405) 224-1727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922578384, enumerated in the NPI registry as an "organization" on November 28, 2018

The provider is located at 823 W Chickasha Ave Chickasha, Ok 73018 and the phone number is (405) 224-1727

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 37D1048373 for a "end stage renal disease dialysis facility" 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 November 28, 2018. 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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