MEDICAID DENTAL PRACTICE OF EASLEY, SC, INC
NPI 1932399862
Dentist - General Practice in Easley, SC

NPI Status: Active since July 26, 2007

Contact Information

807 S PENDLETON ST
EASLEY, SC
ZIP 29640
Phone: (864) 855-6530

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  • Organization
  • Dentist
  • General Practice

About MEDICAID DENTAL PRACTICE OF EASLEY, SC, INC

This page provides the complete NPI Profile along with additional information for Medicaid Dental Practice Of Easley, Sc, Inc, a provider established in Easley, South Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1932399862 assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 3944 (SC). The provider is registered as an organization and their NPI record was last updated 18 years ago. Medicaid Dental Practice Of Easley, Sc, Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Shawn C Edwards Dds (President)

NPI
1932399862
Provider Name
MEDICAID DENTAL PRACTICE OF EASLEY, SC, INC
Entity Type
Organization
Location Address
807 S PENDLETON ST EASLEY, SC 29640
Location Phone
(864) 855-6530
Mailing Address
415 S PENDLETON ST EASLEY, SC 29640
Mailing Phone
(864) 859-0111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2007
Last Update Date
07-26-2007
Code Navigator

A dentist like Medicaid Dental Practice Of Easley, Sc, Inc 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
License No.
3944
License State
SC
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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. SHAWN C EDWARDS DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(864) 859-0111

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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.
1932399862
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29626918812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 6 + 9 + 1 + 8 + 8 + 1 + 2 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1932399862 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 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962460873DR. LOUIS ERVIN SHEPARD DDS
Individual
Dentist (General Practice)807 S PENDLETON ST
EASLEY, SC 29640
(864) 859-0111
1578983565 VIKAS RAJA JAIN DMD
Individual
Dentist807 S PENDLETON ST
EASLEY, SC 29640
(864) 855-6563
1962161646SC URGENT CARE LLC
Organization
Clinic/Center (Urgent Care)807 S PENDLETON ST
EASLEY, SC 29640
(864) 307-9212
1134873870 JENNIFER LYNN BRITT FNP
Individual
Nurse Practitioner (Family)807 S PENDLETON ST
EASLEY, SC 29640
(864) 307-9212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932399862, enumerated in the NPI registry as an "organization" on July 26, 2007

The provider is located at 807 S Pendleton St Easley, Sc 29640 and the phone number is (864) 855-6530

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

This NPI record was last updated on July 26, 2007. 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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