REGGIE HARRIS BROOM DMD
NPI 1063588788
Dentist - Pediatric Dentistry in Gulfport, MS
NPI Status: Active since November 27, 2006
Contact Information
1635 E PASS ROAD
GULFPORT, MS
ZIP 39507
Phone: (228) 896-5197
Fax: (228) 896-5192
- Individual
- Male
- Dentist
- Pediatric Dentistry
About REGGIE BROOM
This page provides the complete NPI Profile along with additional information for Reggie Broom, a provider established in Gulfport, Mississippi with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1063588788 assigned on November 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 200583 (MS). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1063588788
- Provider Name
- REGGIE HARRIS BROOM DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1635 E PASS ROAD GULFPORT, MS 39507
- Location Phone
- (228) 896-5197
- Location Fax
- (228) 896-5192
- Mailing Address
- 1635 E PASS ROAD GULFPORT, MS 39507
- Mailing Phone
- (228) 896-5197
- Mailing Fax
- (228) 896-5192
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-27-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Reggie Broom 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.
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
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 200583
- License State
- MS
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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) |
|---|---|---|---|---|
| 1 | 1223P0221X | Dental Providers | Dentist | 11986 (MS) |
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.
*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 |
|---|---|---|---|
| H66176 | OTHER (01) | MS | UNITED CONCORDIA |
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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 1063588788, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
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 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063588788, enumerated as an "individual" on November 27, 2006.
The provider is located at 1635 E PASS ROAD GULFPORT, MS 39507 and the phone number is (228) 896-5197.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
