SOUTHEAST FAMILY DENTISTRY PLLC
NPI 1255885307
Dentist - General Practice in Mc Gehee, AR

NPI Status: Active since August 06, 2016

Contact Information

601 N 2ND ST
MC GEHEE, AR
ZIP 71654
Phone: (870) 222-3926
Fax: (870) 222-4002

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  • Organization
  • Dentist
  • General Practice

About SOUTHEAST FAMILY DENTISTRY PLLC

This page provides the complete NPI Profile along with additional information for Southeast Family Dentistry Pllc, a provider established in Mc Gehee, Arkansas operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1255885307 assigned on August 2016. The practitioner's primary taxonomy code is 1223G0001X with license number 2164 (AR). The provider is registered as an organization and their NPI record was last updated 10 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 John M Lally Dds (Mbr)

NPI
1255885307
Provider Name
SOUTHEAST FAMILY DENTISTRY PLLC
Entity Type
Organization
Location Address
601 N 2ND ST MC GEHEE, AR 71654
Location Phone
(870) 222-3926
Location Fax
(870) 222-4002
Mailing Address
601 N 2ND ST MC GEHEE, AR 71654
Mailing Phone
(870) 222-3926
Mailing Fax
(870) 222-4002
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-06-2016
Last Update Date
08-06-2016
Code Navigator

A dentist like Southeast Family Dentistry Pllc 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.

According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is physician and was certified on 12-13-2006 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke

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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
2164
License State
AR
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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)
11223G0001XDental Providers

Dentist
General Practice

4106 (AR)

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.

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

JOHN M LALLY DDS

Authorized Official Title
MBR
Authorized Official Phone
(870) 222-3926

Inpatient Rehabilitation Information

The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.

  • SOUTHEAST FAMILY DENTISTRY PLLC has an ownership type of Physician
  • The facility received it's medicare certification date on 12-13-2006
Rehabilitation facility number of episodes of treated medical conditions.
Medical Condition Times Conditions Treated
All other conditions38
Brain disease or condition (non-traumatic)Not Available - Data not available for this reporting period.
Brain injury (traumatic)Less than 11 - The number of cases/patient stays is too small to report.
Hip or femur fracture11
Hip or knee replacement, amputation or other bone or joint condition24
Nervous system disorder (excluding stroke)23
Spinal cord disease or condition (non-traumatic)28
Spinal cord injury (traumatic)Not Available - Data not available for this reporting period.
Stroke34

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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 1255885307, 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
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
8
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
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 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 0 + 5 + 1 + 6 + 8 + 1 + 0 + 3 + 0 + 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 1255885307.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
601 N 2ND ST
MCGEHEE, AR 71654
Dentist (General Practice)
601 N 2ND ST
MC GEHEE, AR 71654
Dentist
601 N 2ND ST
MC GEHEE, AR 71654

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255885307, enumerated as an "organization" on August 06, 2016.

The provider is located at 601 N 2ND ST MC GEHEE, AR 71654 and the phone number is (870) 222-3926.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.