MARK O. CUMMINS, DMD, PLLC
NPI 1265609374
Clinic/Center - Dental in Richmond, KY

NPI Status: Active since May 08, 2008

Contact Information

326 HIGHLAND PARK DR
RICHMOND, KY
ZIP 40475
Phone: (859) 623-2425

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About MARK O. CUMMINS, DMD, PLLC

This page provides the complete NPI Profile along with additional information for Mark O. Cummins, Dmd, Pllc, a provider established in Richmond, Kentucky operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1265609374 assigned on May 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 6694 (KY). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Mark O. Cummins D.m.d. (Pres)

NPI
1265609374
Provider Name
MARK O. CUMMINS, DMD, PLLC
Entity Type
Organization
Location Address
326 HIGHLAND PARK DR RICHMOND, KY 40475
Location Phone
(859) 623-2425
Mailing Address
326 HIGHLAND PARK DR RICHMOND, KY 40475
Mailing Phone
(859) 623-2425
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2008
Last Update Date
08-21-2013
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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.
6694
License State
KY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*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

DR. MARK O. CUMMINS D.M.D.

Authorized Official Title
PRES
Authorized Official Phone
(859) 623-2425

Reviews for MARK O. CUMMINS, DMD, PLLC

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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 1265609374, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
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 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 2 + 0 + 1 + 8 + 3 + 1 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265609374.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Dentist (General Practice)
326 HIGHLAND PARK DR
RICHMOND, KY 40475
Dentist (General Practice)
326 HIGHLAND PARK DR
RICHMOND, KY 40475
Podiatrist
326 HIGHLAND PARK DR
RICHMOND, KY 40475
Podiatrist
326 HIGHLAND PARK DR
RICHMOND, KY 40475
Durable Medical Equipment & Medical Supplies (Customized Equipment)
326 HIGHLAND PARK DR
RICHMOND, KY 40475
Durable Medical Equipment & Medical Supplies
326 HIGHLAND PARK DR
RICHMOND, KY 40475

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265609374, enumerated as an "organization" on May 08, 2008.

The provider is located at 326 HIGHLAND PARK DR RICHMOND, KY 40475 and the phone number is (859) 623-2425.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

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