RENAISSANCE ORAL SURGERY PC
NPI 1235325499
Dentist - Oral and Maxillofacial Surgery in Roseville, MI

NPI Status: Active since September 21, 2007

Contact Information

20805 E 12 MILE RD
STE 110
ROSEVILLE, MI
ZIP 48066
Phone: (586) 778-2100
Fax: (586) 778-2422

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

About RENAISSANCE ORAL SURGERY PC

This page provides the complete NPI Profile along with additional information for Renaissance Oral Surgery Pc, a provider established in Roseville, Michigan operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1235325499 assigned on September 2007. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Henry Bryan Dds (President)

NPI
1235325499
Provider Name
RENAISSANCE ORAL SURGERY PC
Entity Type
Organization
Location Address
20805 E 12 MILE RD STE 110 ROSEVILLE, MI 48066
Location Phone
(586) 778-2100
Location Fax
(586) 778-2422
Mailing Address
20805 E 12 MILE RD STE 110 ROSEVILLE, MI 48066
Mailing Phone
(586) 778-2100
Mailing Fax
(586) 778-2422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-21-2007
Last Update Date
10-01-2013
Code Navigator

A dentist like Renaissance Oral Surgery Pc 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 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)
1204E00000XAllopathic & Osteopathic Physicians

Oral & Maxillofacial Surgery

 
22082S0099XAllopathic & Osteopathic Physicians

Plastic Surgery
Plastic Surgery Within the Head and Neck

 

Group Taxonomy 193400000X MULTIPLE 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:

  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - 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.

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

MR. HENRY BRYAN DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(586) 778-2100

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
P00230001OTHER (01)MIMEDICARE PROVIDER
P00230001MEDICARE PIN (08) 
975506164OTHER (01)MIBC/BS MEDICARE ADVANTAGE
128744OTHER (01)MICARE CHOICES
2856OTHER (01)MIGOLDEN DENTAL
975506164OTHER (01)MIBC/BS OF MI
U33701OTHER (01)MIHAP

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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 1235325499, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
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 3 → 6 3 → 6 5 → 10 → 1 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 6 + 2 + 1 + 0 + 4 + 1 + 8 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1235325499.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Oral & Maxillofacial Surgery
20805 E 12 MILE RD, SUITE 110
ROSEVILLE, MI 48066
Dentist (General Practice)
20805 E 12 MILE RD
ROSEVILLE, MI 48066
Dentist (General Practice)
20805 E 12 MILE RD, SUITE 100
ROSEVILLE, MI 48066
Dentist (General Practice)
20805 E 12 MILE RD, SUITE 100
ROSEVILLE, MI 48066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235325499, enumerated as an "organization" on September 21, 2007.

The provider is located at 20805 E 12 MILE RD STE 110 ROSEVILLE, MI 48066 and the phone number is (586) 778-2100.

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

The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.