MAXILLOFACIAL ONCOLOGIC DENTISTRY
NPI 1013041391
Special Hospital in Louisville, KY
NPI Status: Active since March 16, 2007
Contact Information
529 S JACKSON ST
# 127
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5747
Fax: (502) 852-6132
- Organization
- Special Hospital
- CLIA Number: 18D1021751
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-01-2028
About MAXILLOFACIAL ONCOLOGIC DENTISTRY
This page provides the complete NPI Profile along with additional information for Maxillofacial Oncologic Dentistry, a provider established in Louisville, Kentucky operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1013041391 assigned on March 2007. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Maxillofacial Oncologic Dentistry. The authorized official of this NPI record is Dr. Zafrulla Khan Dds (Prosthodontics)
- NPI
- 1013041391
- Provider Legal Name
- UNIVERSITY OF LOUISVILLE
- Other Organization Name
- MAXILLOFACIAL ONCOLOGIC DENTISTRY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 529 S JACKSON ST # 127 LOUISVILLE, KY 40202
- Location Phone
- (502) 852-5747
- Location Fax
- (502) 852-6132
- Mailing Address
- 529 S JACKSON ST # 127 LOUISVILLE, KY 40202
- Mailing Phone
- (502) 852-5747
- Mailing Fax
- (502) 852-6132
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2007
- Last Update Date
- 09-21-2009
- Code Navigator
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
Special Hospital
- Taxonomy Code
- 284300000X
- Type
- Hospitals
- Taxonomy Description
- A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.
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.
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.
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 |
|---|---|---|---|
| 00600 | MEDICARE PIN (08) | KY | |
| ========= | OTHER (01) | KY | UNITED HEALTHCARE |
| 775656 | OTHER (01) | KY | UNITED CONN |
| 000000175275 | OTHER (01) | KY | ANTHEM BCBS |
| 0003831 | OTHER (01) | KY | PASSPORT |
| 2438647000 | OTHER (01) | KY | PASSPORT ADVANTAGE |
| T83090 | MEDICARE UPIN (02) | KY | |
| 5651497 | OTHER (01) | KY | AETNA |
| 60050671 | MEDICAID (05) | KY | |
| =========002 | OTHER (01) | KY | HEALTH NET TRICARE |
| 100018200 | OTHER (01) | IN | INDIANA MEDICAID |
| 190005666 | OTHER (01) | KY | RR MEDICARE |
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
- 18D1021751
- Facility Type
- Physician Office
- Certificate Effective Date
- February 02, 2026
- Certificate Expiration Date
- February 01, 2028
- Laboratory Director
- ANGELA S. SIEGWALD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Maxillofacial Oncologic Dentistry 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1013041391, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
LOUISVILLE, KY 40202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013041391, enumerated as an "organization" on March 16, 2007.
The provider is located at 529 S JACKSON ST # 127 LOUISVILLE, KY 40202 and the phone number is (502) 852-5747.
Special Hospital with taxonomy code 284300000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield, Anthem. Please consult your insurance carrier or call the provider to verify.
