BOULOS DENTAL CARE, P.C.
NPI 1023308392
Exclusive Provider Organization in Shoreview, MN

NPI Status: Active since April 07, 2011

Contact Information

470 HIGHWAY 96 W
SUITE 200
SHOREVIEW, MN
ZIP 55126
Phone: (952) 465-7210

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  • Organization
  • Exclusive Provider Organization

About BOULOS DENTAL CARE, P.C.

This page provides the complete NPI Profile along with additional information for Boulos Dental Care, P.c., a provider established in Shoreview, Minnesota operating as a Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1023308392 assigned on April 2011. The practitioner's primary taxonomy code is 302F00000X with license number 12329 (MN). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Samy Wasfy Yousef Boulos (Dentist (dds))

NPI
1023308392
Provider Name
BOULOS DENTAL CARE, P.C.
Entity Type
Organization
Location Address
470 HIGHWAY 96 W SUITE 200 SHOREVIEW, MN 55126
Location Phone
(952) 465-7210
Mailing Address
110 CARLSON PKWY APT #115 MINNETONKA, MN 55305
Mailing Phone
(952) 465-7210
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2011
Last Update Date
04-07-2011
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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

Exclusive Provider Organization

Taxonomy Code
302F00000X
Type
Managed Care Organizations
License No.
12329
License State
MN
Taxonomy Description
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

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. SAMY WASFY YOUSEF BOULOS

Authorized Official Title
DENTIST (DDS)
Authorized Official Phone
(952) 465-7210

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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 1023308392, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 0 + 1 + 6 + 3 + 1 + 8 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1023308392.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Social Worker (Clinical)
470 HIGHWAY 96 W, SUITE 280
SHOREVIEW, MN 55126
Dentist (General Practice)
470 HIGHWAY 96 W, SUITE 200
SHOREVIEW, MN 55126
Clinic/Center (Primary Care)
470 HIGHWAY 96 W, SUITE 160
SHOREVIEW, MN 55126
Psychologist
470 HIGHWAY 96 W, SUITE 280
SHOREVIEW, MN 55126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023308392, enumerated as an "organization" on April 07, 2011.

The provider is located at 470 HIGHWAY 96 W SUITE 200 SHOREVIEW, MN 55126 and the phone number is (952) 465-7210.

Exclusive Provider Organization with taxonomy code 302F00000X.