EDWARD J. CLEMONS JR., DDS, PA
NPI 1235315771
Clinic/Center - Dental in Durham, NC
NPI Status: Active since January 15, 2008
Contact Information
5011 SOUTHPARK DR
SUITE 110
DURHAM, NC
ZIP 27713
Phone: (919) 361-9700
Fax: (919) 361-9747
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
About EDWARD J. CLEMONS JR., DDS, PA
This page provides the complete NPI Profile along with additional information for Edward J. Clemons Jr., Dds, Pa, a provider established in Durham, North Carolina operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1235315771 assigned on January 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 5581 (NC). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Edward J. Clemons Jr., Dds, Pa. The authorized official of this NPI record is Dr. Edward Jacob Clemons Jr. Dds (Owner/dentist)
- NPI
- 1235315771
- Provider Legal Name
- CLEMONS COSMETIC & FAMILY DENTISTRY
- Other Organization Name
- EDWARD J. CLEMONS JR., DDS, PA
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 5011 SOUTHPARK DR SUITE 110 DURHAM, NC 27713
- Location Phone
- (919) 361-9700
- Location Fax
- (919) 361-9747
- Mailing Address
- 5011 SOUTHPARK DR SUITE 110 DURHAM, NC 27713
- Mailing Phone
- (919) 361-9700
- Mailing Fax
- (919) 361-9747
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-15-2008
- Last Update Date
- 06-29-2015
- Code Navigator
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
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 5581
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard A | Nationwide Doctors - PPO
- Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Gold Standard A | Statewide Doctors - HMO
- Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
- Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
- Blue Care Silver Standard | Statewide Doctors - HMO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone Health - EPO
- Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant Health - EPO
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.
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.
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 |
|---|---|---|---|
| 8991662 | MEDICAID (05) | NC | |
| 91662 | OTHER (01) | NC | BCBS |
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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 1235315771, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
DURHAM, NC 27713
DURHAM, NC 27713
DURHAM, NC 27713
DURHAM, NC 27713
DURHAM, NC 27713
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235315771, enumerated as an "organization" on January 15, 2008.
The provider is located at 5011 SOUTHPARK DR SUITE 110 DURHAM, NC 27713 and the phone number is (919) 361-9700.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare,. Please consult your insurance carrier or call the provider to verify.
