SAINTS DERMATOLOGY CENTER OF EXCELLENCE MUSTANG
NPI 1285138032
Dermatology in Mustang, OK

NPI Status: Active since March 19, 2018

Contact Information

1440 N MUSTANG ROAD
MUSTANG, OK
ZIP 73064
Phone: (405) 280-7546
Fax: (405) 772-8674

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  • Organization
  • Dermatology
  • CLIA Number: 37D2025974
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-28-2028

About SAINTS DERMATOLOGY CENTER OF EXCELLENCE MUSTANG

This page provides the complete NPI Profile along with additional information for Saints Dermatology Center Of Excellence Mustang, a provider established in Mustang, Oklahoma operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1285138032 assigned on March 2018. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Saints Dermatology Center Of Excellence Mustang operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Saints Dermatology Center Of Excellence Mustang. The authorized official of this NPI record is Crystal L Pena (Insurance Credentialing Specialist)

NPI
1285138032
Provider Legal Name
SAINTS MEDICAL GROUP, LLC
Other Organization Name
SAINTS DERMATOLOGY CENTER OF EXCELLENCE MUSTANG
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1440 N MUSTANG ROAD MUSTANG, OK 73064
Location Phone
(405) 280-7546
Location Fax
(405) 772-8674
Mailing Address
1440 N MUSTANG ROAD MUSTANG, OK 73064
Mailing Phone
(405) 280-7546
Mailing Fax
(405) 772-8674
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2018
Last Update Date
03-19-2018
Code Navigator

A dermatologist like Saints Dermatology Center Of Excellence Mustang is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License State
OK
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

CRYSTAL L PENA

Authorized Official Title
INSURANCE CREDENTIALING SPECIALIST
Authorized Official Phone
(405) 272-7452

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2025974
Facility Type
Physician Office
Certificate Effective Date
January 29, 2026
Certificate Expiration Date
January 28, 2028
Laboratory Director
SHELBI HAYES
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Saints Dermatology Center Of Excellence Mustang in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1285138032, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 8 → 16 → 7 1 → 2 8 → 16 → 7 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 + 6 + 5 + 2 + 3 + 1 + 6 + 0 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1285138032.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285138032, enumerated as an "organization" on March 19, 2018.

The provider is located at 1440 N MUSTANG ROAD MUSTANG, OK 73064 and the phone number is (405) 280-7546.

Dermatology with taxonomy code 207N00000X.