KERRVILLE PEDIATRIC DENTISTRY
NPI 1225409139
Dentist - Pediatric Dentistry in Kerrville, TX

NPI Status: Active since October 19, 2015

Contact Information

715 HILL COUNTRY DR STE 5
KERRVILLE, TX
ZIP 78028
Phone: (830) 255-4197

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  • Organization
  • Dentist
  • Pediatric Dentistry

About KERRVILLE PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Kerrville Pediatric Dentistry, a provider established in Kerrville, Texas operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1225409139 assigned on October 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 25425 (TX). The provider is registered as an organization and their NPI record was last updated 9 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 Kerrville Pediatric Dentistry. The authorized official of this NPI record is Rex Elwyn Wildey Dds (Owner)

NPI
1225409139
Provider Legal Name
RWPK LLC
Other Organization Name
KERRVILLE PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
715 HILL COUNTRY DR STE 5 KERRVILLE, TX 78028
Location Phone
(830) 255-4197
Mailing Address
715 HILL COUNTRY DR STE 5 KERRVILLE, TX 78028
Mailing Phone
(830) 255-4197
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-19-2015
Last Update Date
03-01-2016
Code Navigator

A dentist like Kerrville Pediatric Dentistry 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
License No.
25425
License State
TX
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:

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

REX ELWYN WILDEY DDS

Authorized Official Title
OWNER
Authorized Official Phone
(830) 255-4197

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
211746707MEDICAID (05)TX 

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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.
1225409139
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245801816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 8 + 0 + 1 + 8 + 1 + 6 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1225409139 is valid because the calculated check digit 9 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.

JACKSON CLINIC OF CHIROPRACTIC, INC.

Chiropractor

715 HILL COUNTRY DR STE 5
KERRVILLE, TX
ZIP 78028

(830) 896-9633

DR. RONALD EVANS JACKSON D.C.

Chiropractor

715 HILL COUNTRY DR STE 5
KERRVILLE, TX
ZIP 78028

(830) 896-9633

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225409139, enumerated as an "organization" on October 19, 2015.

The provider is located at 715 HILL COUNTRY DR STE 5 KERRVILLE, TX 78028 and the phone number is (830) 255-4197.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

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