NORTHERN ARIZONA ORAL SURGERY PC
NPI 1164156725
Clinic/Center - Oral and Maxillofacial Surgery in Flagstaff, AZ

NPI Status: Active since July 11, 2022

Contact Information

1521 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001
Phone: (928) 773-2530
Fax: (928) 773-2532

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About NORTHERN ARIZONA ORAL SURGERY PC

This page provides the complete NPI Profile along with additional information for Northern Arizona Oral Surgery Pc, a provider established in Flagstaff, Arizona operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1164156725 assigned on July 2022. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Whitney Pavick (Sr. Operations Manager)

NPI
1164156725
Provider Name
NORTHERN ARIZONA ORAL SURGERY PC
Entity Type
Organization
Location Address
1521 N BEAVER ST FLAGSTAFF, AZ 86001
Location Phone
(928) 773-2530
Location Fax
(928) 773-2532
Mailing Address
1521 N BEAVER ST FLAGSTAFF, AZ 86001
Mailing Phone
(928) 773-2530
Mailing Fax
(928) 773-2532
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-11-2022
Last Update Date
07-11-2022
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

WHITNEY PAVICK

Authorized Official Title
SR. OPERATIONS MANAGER
Authorized Official Phone
(801) 857-7947

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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.
1164156725
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124251274
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 2 + 5 + 1 + 2 + 7 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1164156725 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

MS. DEBORAH LYNN BENNETT M.S.W.

Social Worker

(Clinical)

1521 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001

(928) 774-6414

DR. EUGENE RICHARD MOAN ED.D.

Psychologist

1521 N BEAVER ST
FLAGSTAFF, AZ
ZIP 86001

(928) 523-9604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164156725, enumerated as an "organization" on July 11, 2022.

The provider is located at 1521 N BEAVER ST FLAGSTAFF, AZ 86001 and the phone number is (928) 773-2530.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.