SOUTHSIDE DENTAL AT TINSELTOWN
NPI 1275739237
Preferred Provider Organization in Jacksonville, FL

NPI Status: Active since June 26, 2007

Contact Information

4540 SOUTHSIDE BLVD
SUITE 801
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 642-2010
Fax: (904) 642-8282

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance

About SOUTHSIDE DENTAL AT TINSELTOWN

This page provides the complete NPI Profile along with additional information for Southside Dental At Tinseltown, a provider established in Jacksonville, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1275739237 assigned on June 2007. The practitioner's primary taxonomy code is 305R00000X with license number DN15716 (FL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Southside Dental At Tinseltown. The authorized official of this NPI record is Crystal L Less (Vp Of Operations)

NPI
1275739237
Provider Legal Name
AMANDO DENTAL CORPORATION
Other Organization Name
SOUTHSIDE DENTAL AT TINSELTOWN
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4540 SOUTHSIDE BLVD SUITE 801 JACKSONVILLE, FL 32216
Location Phone
(904) 642-2010
Location Fax
(904) 642-8282
Mailing Address
3545-1 ST. JOHNS BLUFF RD. S. SUITE 352 JACKSONVILLE, FL 32224
Mailing Phone
(904) 998-7000
Mailing Fax
(904) 642-8282
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-26-2007
Last Update Date
01-26-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
DN15716
License State
FL
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Insurance Plans Accepted

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

  • EssentialSmile Florida - Total Care - EPO
  • EssentialSmile Ped 221 - PPO
  • Smile Now Florida - No Waiting Period PPO - PPO
  • 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

CRYSTAL L LESS

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(904) 998-7000

Reviews for SOUTHSIDE DENTAL AT TINSELTOWN

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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 1275739237, 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 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
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
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 7 → 14 → 5 7 → 14 → 5 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 4 + 3 + 1 + 8 + 2 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1275739237.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist
4540 SOUTHSIDE BLVD, 1001
JACKSONVILLE, FL 32216
Chiropractor
4540 SOUTHSIDE BLVD, STE. # 1101
JACKSONVILLE, FL 32216
Dentist (General Practice)
4540 SOUTHSIDE BLVD, SUITE 801
JACKSONVILLE, FL 32216
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Specialist
4540 SOUTHSIDE BLVD, SUITE 701
JACKSONVILLE, FL 32216
Counselor (Professional)
4540 SOUTHSIDE BLVD, SUITE 401
JACKSONVILLE, FL 32216
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216
Massage Therapist
4540 SOUTHSIDE BLVD
JACKSONVILLE, FL 32216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275739237, enumerated as an "organization" on June 26, 2007.

The provider is located at 4540 SOUTHSIDE BLVD SUITE 801 JACKSONVILLE, FL 32216 and the phone number is (904) 642-2010.

Preferred Provider Organization with taxonomy code 305R00000X.

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