FELIX WIYANTO SIM MBBS, BDS
NPI 1104209386
Oral & Maxillofacial Surgery in Portland, OR

NPI Status: Active since July 07, 2015

Contact Information

1015 NW 22ND AVE
PORTLAND, OR
ZIP 97210
Phone: (503) 413-4656

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  • Individual
  • Male
  • Oral & Maxillofacial Surgery

About FELIX SIM

This page provides the complete NPI Profile along with additional information for Felix Sim, a provider established in Portland, Oregon with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1104209386 assigned on July 2015. The practitioner's primary taxonomy code is 204E00000X with license number FE172458 (OR). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1104209386
Provider Name
FELIX WIYANTO SIM MBBS, BDS
Gender
Male
Entity Type
Individual
Location Address
1015 NW 22ND AVE PORTLAND, OR 97210
Location Phone
(503) 413-4656
Mailing Address
5710 SW GROVER CT PORTLAND, OR 97221
Mailing Phone
(503) 915-2879
Is Sole Proprietor?
No
Enumeration Date
07-07-2015
Last Update Date
07-07-2015
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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

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
FE172458
License State
OR
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

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
FE172458OTHER (01)OROREGON MEDICAL LICENCE

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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 1104209386, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 4 + 0 + 1 + 8 + 3 + 1 + 6 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1104209386.

Other Providers at the Same Location


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

Radiology (Radiation Oncology)
1015 NW 22ND AVE, LL50
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
1015 NW 22ND AVE, NORTHRUP #33
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Hospitalist
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T-240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, LEGACY PORTLAND HOSPITALS
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104209386, enumerated as an "individual" on July 07, 2015.

The provider is located at 1015 NW 22ND AVE PORTLAND, OR 97210 and the phone number is (503) 413-4656.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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