DENTAL MEDICINE PROVIDERS
NPI 1093961807
Dentist in San Mateo, CA

NPI Status: Active since August 12, 2008

Contact Information

100 S ELLSWORTH AVE
STE 809
SAN MATEO, CA
ZIP 94401
Phone: (650) 343-4477
Fax: (650) 343-4412

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  • Organization
  • Dentist

About DENTAL MEDICINE PROVIDERS

This page provides the complete NPI Profile along with additional information for Dental Medicine Providers, a provider established in San Mateo, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1093961807 assigned on August 2008. The practitioner's primary taxonomy code is 122300000X with license number 45646 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Dental Medicine Providers. The authorized official of this NPI record is Mr. Russell Shturman (Practice Manager)

NPI
1093961807
Provider Legal Name
DRS SHTURMAN AND KISILYUK INC
Other Organization Name
DENTAL MEDICINE PROVIDERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 S ELLSWORTH AVE STE 809 SAN MATEO, CA 94401
Location Phone
(650) 343-4477
Location Fax
(650) 343-4412
Mailing Address
100 S ELLSWORTH AVE STE 809 SAN MATEO, CA 94401
Mailing Phone
(650) 343-4477
Mailing Fax
(650) 343-4412
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2008
Last Update Date
03-29-2017
Code Navigator

A dentist like Dental Medicine Providers 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
45646
License State
CA
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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.

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. RUSSELL SHTURMAN

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(650) 343-4477

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
6387750001MEDICARE NSC (07)CA 
6387750002MEDICARE NSC (07)CA 

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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 1093961807, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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

Step 2: Add all digits plus the NPI constant

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

2 + 0 + 1 + 8 + 3 + 1 + 8 + 6 + 2 + 8 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1093961807.

Other Providers at the Same Location


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

Dentist (General Practice)
100 S ELLSWORTH AVE, #208
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 206
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, SUITE 303
SAN MATEO, CA 94401
Psychologist
100 S ELLSWORTH AVE, #802
SAN MATEO, CA 94401
Chiropractor
100 S ELLSWORTH AVE, 504
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, SUITE 303
SAN MATEO, CA 94401
Psychologist (Clinical)
100 S ELLSWORTH AVE, #802
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 601
SAN MATEO, CA 94401
Psychiatry & Neurology (Psychiatry)
100 S ELLSWORTH AVE, STE.611
SAN MATEO, CA 94401
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
100 S ELLSWORTH AVE, SUITE 504
SAN MATEO, CA 94401
Audiologist
100 S ELLSWORTH AVE, 303
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 309
SAN MATEO, CA 94401
Otolaryngology
100 S ELLSWORTH AVE, SUITE 301
SAN MATEO, CA 94401
Health Maintenance Organization
100 S ELLSWORTH AVE, # 802
SAN MATEO, CA 94401
Dentist (General Practice)
100 S ELLSWORTH AVE, SUITE 509
SAN MATEO, CA 94401
Orthotist
100 S ELLSWORTH AVE, SUITE 203
SAN MATEO, CA 94401
Student in an Organized Health Care Education/Training Program
100 S ELLSWORTH AVE, SUITE 203
SAN MATEO, CA 94401
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
100 S ELLSWORTH AVE, SUITE 308
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 601
SAN MATEO, CA 94401
Dentist
100 S ELLSWORTH AVE, SUITE 509
SAN MATEO, CA 94401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093961807, enumerated as an "organization" on August 12, 2008.

The provider is located at 100 S ELLSWORTH AVE STE 809 SAN MATEO, CA 94401 and the phone number is (650) 343-4477.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.