MOSTELLAR DENTAL CENTER
NPI 1194770669
Clinic/Center - Dental in Bayou La Batre, AL

NPI Status: Active since May 23, 2006

Contact Information

1340 NORTH WINTZELL AVE.
BAYOU LA BATRE, AL
ZIP 36509
Phone: (251) 824-2347
Fax: (251) 824-4337

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 01D0692392
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 01-02-2027

About MOSTELLAR DENTAL CENTER

This page provides the complete NPI Profile along with additional information for Mostellar Dental Center, a provider established in Bayou La Batre, Alabama operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1194770669 assigned on May 2006. The practitioner's primary taxonomy code is 261QD0000X with license number 2006-293 (AL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Mostellar Dental Center. The authorized official of this NPI record is Mr. James A. Holland Mph (Ceo)

NPI
1194770669
Provider Legal Name
BAYOU LA BATRE AREA HEALTH DEVELOPMENT BD.INC.
Other Organization Name
MOSTELLAR DENTAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1340 NORTH WINTZELL AVE. BAYOU LA BATRE, AL 36509
Location Phone
(251) 824-2347
Location Fax
(251) 824-4337
Mailing Address
PO BOX 769 BAYOU LA BATRE, AL 36509
Mailing Phone
(251) 824-2347
Mailing Fax
(251) 824-4337
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-23-2006
Last Update Date
04-20-2008
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
2006-293
License State
AL

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.

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

MR. JAMES A. HOLLAND MPH

Authorized Official Title
CEO
Authorized Official Phone
(251) 824-2174

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
=========OTHER (01)ALFEDERAL TAX ID

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D0692392
Facility Type
Federally Qualified Health Center
Certificate Effective Date
January 03, 2025
Certificate Expiration Date
January 02, 2027
Laboratory Director
MS. MONICA C. TAYLOR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mostellar Dental Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1194770669, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 9 → 18 → 9 7 → 14 → 5 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 8 + 4 + 1 + 4 + 7 + 0 + 6 + 1 + 2 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1194770669.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194770669, enumerated as an "organization" on May 23, 2006.

The provider is located at 1340 NORTH WINTZELL AVE. BAYOU LA BATRE, AL 36509 and the phone number is (251) 824-2347.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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