ALTUS DENTAL SURGERY CENTER BEAUMONT
NPI 1164821286
Dentist - Pediatric Dentistry in Beaumont, TX

NPI Status: Active since August 14, 2014

Contact Information

390 N 11TH ST
BEAUMONT, TX
ZIP 77702
Phone: (281) 427-5100

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dentist
Pediatric Dentistry

About ALTUS DENTAL SURGERY CENTER BEAUMONT

This page provides the complete NPI Profile along with additional information for Altus Dental Surgery Center Beaumont, a provider established in Beaumont, Texas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1164821286 assigned on August 2014. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Altus Dental Surgery Center Beaumont. The authorized official of this NPI record is Poorang Pahlavan Dds (Owner)

NPI: 1164821286
Provider Legal Name: ALTUS DENTAL SURGERY BEAUMONT, PA
Other Organization Name: ALTUS DENTAL SURGERY CENTER BEAUMONT
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 390 N 11TH ST BEAUMONT, TX 77702
Location Phone: (281) 427-5100
Mailing Address: 4508 GARTH RD SUITE A BAYTOWN, TX 77521
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-14-2014
Last Update Date: 08-14-2014
Code Navigator

A dentist like Altus Dental Surgery Center Beaumont 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 Pediatric Dentistry
Taxonomy Code: 1223P0221X
Type: Dental Providers
Taxonomy Description: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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: POORANG PAHLAVAN DDS
Authorized Official Title: OWNER
Authorized Official Phone: (281) 427-5100

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
1880833	MEDICAID (05)	TX
135073817	MEDICAID (05)	TX

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.
1	1	6	4	8	2	1	2	8	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	12	4	16	2	2	2	16
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 2 + 2 + 2 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1164821286 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

ZERENITY BEAUMONT, LP

Clinic/Center

(Sleep Disorder Diagnostic)