TIME SQUARE DENTAL GROUP
NPI 1225369077
Dentist - Periodontics in Pasadena, TX

NPI Status: Active since January 19, 2010

Contact Information

4450 E SAM HOUSTON PKWY S
SUITE H2
PASADENA, TX
ZIP 77505
Phone: (713) 910-7779
Fax: (713) 910-7760

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  • Organization
  • Dentist
  • Periodontics
  • Accepts Insurance

About TIME SQUARE DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Time Square Dental Group, a provider established in Pasadena, Texas operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1225369077 assigned on January 2010. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Time Square Dental Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Razan Daccak D.d.s. (Owner)

NPI
1225369077
Provider Name
TIME SQUARE DENTAL GROUP
Entity Type
Organization
Location Address
4450 E SAM HOUSTON PKWY S SUITE H2 PASADENA, TX 77505
Location Phone
(713) 910-7779
Location Fax
(713) 910-7760
Mailing Address
PO BOX 460182 HOUSTON, TX 77056
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2010
Last Update Date
01-19-2010
Code Navigator

A dentist like Time Square Dental Group 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • DentaQuest PPO Pediatric High - PPO
  • DentaQuest PPO Family Basic - PPO
  • DentaQuest PPO Family High - PPO
  • DentaQuest PPO Family Low - PPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

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. RAZAN DACCAK D.D.S.

Authorized Official Title
OWNER
Authorized Official Phone
(713) 910-7779

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
190182901MEDICAID (05)TX 

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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 1225369077, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 6 + 6 + 1 + 8 + 0 + 1 + 4 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1225369077.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
4450 E SAM HOUSTON PKWY S, SUITE E
PASADENA, TX 77505
Internal Medicine (Gastroenterology)
4450 E SAM HOUSTON PKWY S, STE H2
PASADENA, TX 77505
Ophthalmology
4450 E SAM HOUSTON PKWY S, SUIT E
PASADENA, TX 77505
Dentist (General Practice)
4450 E SAM HOUSTON PKWY S, SUITE H
PASADENA, TX 77505
Optometrist
4450 E SAM HOUSTON PKWY S
PASADENA, TX 77505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225369077, enumerated as an "organization" on January 19, 2010.

The provider is located at 4450 E SAM HOUSTON PKWY S SUITE H2 PASADENA, TX 77505 and the phone number is (713) 910-7779.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: DentaQuest USA Insurance Company, Inc.,. Please consult your insurance carrier or call the provider to verify.