COMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC
NPI 1215081625
Dentist - General Practice in Lakeville, MA

NPI Status: Active since January 22, 2007

Contact Information

12 COLLEEN DR
LAKEVILLE, MA
ZIP 02347
Phone: (508) 947-0111
Fax: (508) 743-7827

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  • Organization
  • Dentist
  • General Practice

About COMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Commonwealth Mobile Oral Health Services, Llc, a provider established in Lakeville, Massachusetts operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1215081625 assigned on January 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 12683 (MA). The provider is registered as an organization and their NPI record was last updated 13 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 authorized official of this NPI record is Dr. Mark J Doherty Dmd,mph,cchp (Director)

NPI
1215081625
Provider Name
COMMONWEALTH MOBILE ORAL HEALTH SERVICES, LLC
Entity Type
Organization
Location Address
12 COLLEEN DR LAKEVILLE, MA 02347
Location Phone
(508) 947-0111
Location Fax
(508) 743-7827
Mailing Address
12 COLLEEN DR LAKEVILLE, MA 02347
Mailing Phone
(508) 947-0111
Mailing Fax
(508) 743-7827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2007
Last Update Date
07-19-2012
Code Navigator

A dentist like Commonwealth Mobile Oral Health Services, Llc 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.
12683
License State
MA
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 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:

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

DR. MARK J DOHERTY DMD,MPH,CCHP

Authorized Official Title
DIRECTOR
Authorized Official Phone
(508) 947-0111

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
01761953MEDICAID (05)NY 
30010445MEDICAID (05)NH 
0245844MEDICAID (05)MA 
9756892MEDICAID (05)MA 
30010446MEDICAID (05)NH 
01730905MEDICAID (05)NY 

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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.
1215081625
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222508264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 0 + 8 + 2 + 6 + 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 1215081625 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 3 providers are registered at the same or nearby location.

DR. GHASSAN A KHOURY DMD,MPH,PC

Dentist

(General Practice)

12 COLLEEN DR
LAKEVILLE, MA
ZIP 02347

(508) 947-0111

DR. CUONG DO DMD

Dentist

(General Practice)

12 COLLEEN DR
LAKEVILLE, MA
ZIP 02347

(508) 947-0111

DR. QUI Q NGUYEN DMD

Dentist

(General Practice)

12 COLLEEN DR
LAKEVILLE, MA
ZIP 02347

(508) 947-0111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215081625, enumerated as an "organization" on January 22, 2007.

The provider is located at 12 COLLEEN DR LAKEVILLE, MA 02347 and the phone number is (508) 947-0111.

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

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