JEREMIAH D. PATRICK, D.M.D., P.A.
NPI 1154096097
Dentist - Endodontics in Fort Walton Beach, FL
NPI Status: Active since August 12, 2021
Contact Information
207 PELHAM RD
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 808-3636
- Organization
- Dentist
- Endodontics
About JEREMIAH D. PATRICK, D.M.D., P.A.
This page provides the complete NPI Profile along with additional information for Jeremiah D. Patrick, D.m.d., P.a., a provider established in Fort Walton Beach, Florida operating as a Dentist, focusing in endodontics . The healthcare provider is registered in the NPI registry with number 1154096097 assigned on August 2021. The practitioner's primary taxonomy code is 1223E0200X. The provider is registered as an organization and their NPI record was last updated February 2026. 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
- NPI
- 1154096097
- Provider Legal Name
- JEREMIAH D. PATRICK, D.M.D., P.A.
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 207 PELHAM RD FORT WALTON BEACH, FL 32547
- Location Phone
- (850) 808-3636
- Mailing Address
- 207 PELHAM RD FORT WALTON BEACH, FL 32547
- Mailing Phone
- (850) 808-3636
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2021
- Last Update Date
- 02-02-2026
- Code Navigator
A dentist like Jeremiah D. Patrick, D.m.d., P.a. 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 Endodontics
- Taxonomy Code
- 1223E0200X
- Type
- Dental Providers
- Taxonomy Description
- The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
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.
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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 1154096097, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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.
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 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154096097, enumerated as an "organization" on August 12, 2021.
The provider is located at 207 PELHAM RD FORT WALTON BEACH, FL 32547 and the phone number is (850) 808-3636.
Dentist with taxonomy code 1223E0200X and a focus in Endodontics.
