GROUP HEALTH PLAN INC
NPI 1225629017
Dentist - Oral and Maxillofacial Surgery in Saint Paul, MN

NPI Status: Active since February 03, 2021

Contact Information

2500 COMO AVE
SAINT PAUL, MN
ZIP 55108
Phone: (651) 647-2500

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • Accepts Insurance

About GROUP HEALTH PLAN INC

This page provides the complete NPI Profile along with additional information for Group Health Plan Inc, a provider established in Saint Paul, Minnesota operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1225629017 assigned on February 2021. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Group Health Plan Inc 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 Lisa Bjorkman (Director Provider Enrollment)

NPI
1225629017
Provider Name
GROUP HEALTH PLAN INC
Entity Type
Organization
Location Address
2500 COMO AVE SAINT PAUL, MN 55108
Location Phone
(651) 647-2500
Mailing Address
8170 33RD AVE S BLOOMINGTON, MN 55425
Mailing Phone
(952) 883-5155
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2021
Last Update Date
02-03-2021
Code Navigator

A dentist like Group Health Plan Inc 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

Secondary Locations

  • 8600 Nicollet Ave S
    Bloomington, MN 55420
    (952) 541-2888
  • 8515 Eagle Point Blvd Ste 200
    Lake Elmo, MN 55042
    (651) 523-9950
  • 8455 Flying Cloud Dr
    Eden Prairie, MN 55344
    (952) 883-9040

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 Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223E0200XDental Providers

Dentist
Endodontics

 
21223P0300XDental Providers

Dentist
Periodontics

 
31223P0700XDental Providers

Dentist
Prosthodontics

 

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:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
  • BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - EPO
  • BlueSelect Bronze 2139 ($50 PCP Visits / Rewards) - EPO
  • BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
  • BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards) - EPO
  • BlueSelect Bronze 2342S ($50 PCP Visits / Rewards) - EPO
  • BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
  • BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-05 (Rewards) - POS
  • BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards) - POS
  • BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-18 (Rewards) - POS
  • BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards) - POS
  • BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards) - POS
  • BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - POS
  • BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - POS
  • BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - POS
  • BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - POS
  • BlueCare Silver 24K01-02 ($10 Labs / Rewards) - POS

*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

LISA BJORKMAN

Authorized Official Title
DIRECTOR PROVIDER ENROLLMENT
Authorized Official Phone
(952) 883-7469

Reviews for GROUP HEALTH PLAN INC

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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 1225629017, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 6 → 12 → 3 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 1 + 2 + 2 + 1 + 8 + 0 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1225629017.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
2500 COMO AVE
SAINT PAUL, MN 55108
Psychologist (Clinical)
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Internal Medicine
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Audiologist
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Surgery
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Internal Medicine
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Dietitian, Registered
2500 COMO AVE, MAIL STOP 31100A
ST PAUL, MN 55108
Psychologist (Clinical)
2500 COMO AVE, MAIL STOP 31100A
SAINT PAUL, MN 55108
Physical Therapist
2500 COMO AVE
SAINT PAUL, MN 55108
Physical Therapist
2500 COMO AVE
SAINT PAUL, MN 55108
Chiropractor
2500 COMO AVE, CHIROPRACTIC DEPT
SAINT PAUL, MN 55108
Specialist
2500 COMO AVE, HEALTHPARTNERS COMO CLINIC
ST. PAUL, MN 55108
Dentist (General Practice)
2500 COMO AVE
ST PAUL, MN 55108
Dentist (Oral and Maxillofacial Surgery)
2500 COMO AVE
ST PAUL, MN 55108
Dentist (General Practice)
2500 COMO AVE
ST PAUL, MN 55108
Dentist (General Practice)
2500 COMO AVE
ST PAUL, MN 55108
Dentist (Oral and Maxillofacial Surgery)
2500 COMO AVE
ST PAUL, MN 55108
Dentist (Periodontics)
2500 COMO AVE
ST PAUL, MN 55108
Acupuncturist
2500 COMO AVE
SAINT PAUL, MN 55108
Pharmacist (Pharmacotherapy)
2500 COMO AVE
SAINT PAUL, MN 55108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225629017, enumerated as an "organization" on February 03, 2021.

The provider is located at 2500 COMO AVE SAINT PAUL, MN 55108 and the phone number is (651) 647-2500.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Florida. Please consult your insurance carrier or call the provider to verify.