COLLEGE OF DENTISTRY - OPERATORY
NPI 1053385963
Clinic/Center - Oral and Maxillofacial Surgery in Memphis, TN

NPI Status: Active since February 15, 2006

Contact Information

875 UNION AVE
ROOM C209
MEMPHIS, TN
ZIP 38103
Phone: (901) 448-6267
Fax: (901) 448-2853

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About COLLEGE OF DENTISTRY - OPERATORY

This page provides the complete NPI Profile along with additional information for College Of Dentistry - Operatory, a provider established in Memphis, Tennessee operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1053385963 assigned on February 2006. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 6 years ago. College Of Dentistry - Operatory operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is College Of Dentistry - Operatory. The authorized official of this NPI record is Mr. Anthony A Ferrara (Sr Vice Chancellor Chief Financial)

NPI
1053385963
Provider Legal Name
UNIVERSITY OF TENNESSEE
Other Organization Name
COLLEGE OF DENTISTRY - OPERATORY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
875 UNION AVE ROOM C209 MEMPHIS, TN 38103
Location Phone
(901) 448-6267
Location Fax
(901) 448-2853
Mailing Address
875 UNION AVE ROOM E201 MEMPHIS, TN 38103
Mailing Phone
(901) 448-6224
Mailing Fax
(901) 448-2853
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-15-2006
Last Update Date
02-13-2020
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

 
21223P0221XDental Providers

Dentist
Pediatric Dentistry

 

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • DentaQuest EPO Pediatric High - EPO
  • DentaQuest EPO Family High - EPO
  • DentaQuest EPO Family Low - EPO

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.

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

MR. ANTHONY A FERRARA

Authorized Official Title
SR VICE CHANCELLOR CHIEF FINANCIAL
Authorized Official Phone
(901) 448-5523

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
8784OTHER (01)TNSTATE LICENSE

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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 1053385963, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 5 → 10 → 1 3 → 6 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 0 + 3 + 6 + 8 + 1 + 0 + 9 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1053385963.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Periodontics)
875 UNION AVE, C511
MEMPHIS, TN 38103
Dentist (General Practice)
875 UNION AVE, DUNN DENTAL BUILDING, ROOM C 302
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist
875 UNION AVE, S-301
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist (General Practice)
875 UNION AVE, SUITE N 402
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist (Pediatric Dentistry)
875 UNION AVE, PEDIATRIC DENTISTRY DEPT
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist (Oral and Maxillofacial Surgery)
875 UNION AVE, ROOM N328
MEMPHIS, TN 38103
Dentist (Oral and Maxillofacial Radiology)
875 UNION AVE
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist
875 UNION AVE, C 302
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist (Pediatric Dentistry)
875 UNION AVE, DEPARTMENT OF PEDIATRIC DENTISTRY
MEMPHIS, TN 38103
Dentist (General Practice)
875 UNION AVE
MEMPHIS, TN 38103
Dentist
875 UNION AVE
MEMPHIS, TN 38103
Dentist (Oral and Maxillofacial Surgery)
875 UNION AVE, N-328 DUNN
MEMPHIS, TN 38103
Dentist (General Practice)
875 UNION AVE
MEMPHIS, TN 38103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053385963, enumerated as an "organization" on February 15, 2006.

The provider is located at 875 UNION AVE ROOM C209 MEMPHIS, TN 38103 and the phone number is (901) 448-6267.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: DentaQuest Insurance Company Inc- TN, Medicare and. Please consult your insurance carrier or call the provider to verify.