ASSOCIATED DENTISTS OF WATERTOWN
NPI 1104950336
Dentist - General Practice in Watertown, WI

NPI Status: Active since March 16, 2007

Contact Information

101 OAKRIDGE COURT
SUITE C
WATERTOWN, WI
ZIP 53094
Phone: (920) 261-5400
Fax: (920) 261-1590

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  • Organization
  • Dentist
  • General Practice
  • Accepts Insurance

About ASSOCIATED DENTISTS OF WATERTOWN

This page provides the complete NPI Profile along with additional information for Associated Dentists Of Watertown, a provider established in Watertown, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1104950336 assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 4872 (WI). The provider is registered as an organization and their NPI record was last updated 6 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 Associated Dentists Of Watertown. The authorized official of this NPI record is Michael J Wertz D.d.s. (Owner)

NPI
1104950336
Provider Legal Name
OAK RIDGE DENTAL CLINIC,SC
Other Organization Name
ASSOCIATED DENTISTS OF WATERTOWN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 OAKRIDGE COURT SUITE C WATERTOWN, WI 53094
Location Phone
(920) 261-5400
Location Fax
(920) 261-1590
Mailing Address
101 OAKRIDGE COURT SUITE C WATERTOWN, WI 53094
Mailing Phone
(920) 261-5400
Mailing Fax
(920) 261-1590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2007
Last Update Date
08-22-2020
Code Navigator

A dentist like Associated Dentists Of Watertown 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4872
License State
WI
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.

Group Taxonomy 193400000X MULTIPLE 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:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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

MICHAEL J WERTZ D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(920) 261-5400

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
33741400MEDICAID (05)WI 
33354400MEDICAID (05)WI 

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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 1104950336, 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
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 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 9 → 18 → 9 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 8 + 5 + 0 + 3 + 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 1104950336.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104950336, enumerated as an "organization" on March 16, 2007.

The provider is located at 101 OAKRIDGE COURT SUITE C WATERTOWN, WI 53094 and the phone number is (920) 261-5400.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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