DR. DOUGLAS ANTHONY FILIDORE D.M.D
NPI 1093923013
Dentist - General Practice in Downingtown, PA
NPI Status: Active since May 21, 2007
Contact Information
1372 STONEGATE DR
DOWNINGTOWN, PA
ZIP 19335
Phone: (610) 459-3644
Fax: (610) 459-0736
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- Opted-Out Medicare
About DOUGLAS FILIDORE
This page provides the complete NPI Profile along with additional information for Douglas Filidore, a provider established in Downingtown, Pennsylvania with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1093923013 assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number DS02831L (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1093923013
- Provider Name
- DR. DOUGLAS ANTHONY FILIDORE D.M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1372 STONEGATE DR DOWNINGTOWN, PA 19335
- Location Phone
- (610) 459-3644
- Location Fax
- (610) 459-0736
- Mailing Address
- 1372 STONEGATE DR DOWNINGTOWN, PA 19335
- Mailing Phone
- (610) 459-3644
- Mailing Fax
- (610) 459-0736
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-21-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Douglas Filidore 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Douglas Filidore opted out of Medicare effective on 04-04-2016 until 04-04-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- DS02831L
- License State
- PA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-04-2016
Opt-Out End Date: 04-04-2026
Eligible to Order and Refer? No
Reviews for DR. DOUGLAS ANTHONY FILIDORE D.M.D
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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. | |||||||||
| 1 | 0 | 9 | 3 | 9 | 2 | 3 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 18 | 2 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 8 + 2 + 6 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1093923013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093923013, enumerated as an "individual" on May 21, 2007.
The provider is located at 1372 STONEGATE DR DOWNINGTOWN, PA 19335 and the phone number is (610) 459-3644.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to verify.
