MIKE KOSTAKOS, DDS, P.C.
NPI 1295441822
Clinic/Center - Dental in Southfield, MI

NPI Status: Active since January 26, 2023

Contact Information

20307 W 12 MILE RD STE 101
SOUTHFIELD, MI
ZIP 48076
Phone: (248) 559-1220
Fax: (248) 559-4300

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About MIKE KOSTAKOS, DDS, P.C.

This page provides the complete NPI Profile along with additional information for Mike Kostakos, Dds, P.c., a provider established in Southfield, Michigan operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1295441822 assigned on January 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Wala Salama (Office Manager)

NPI
1295441822
Provider Name
MIKE KOSTAKOS, DDS, P.C.
Entity Type
Organization
Location Address
20307 W 12 MILE RD STE 101 SOUTHFIELD, MI 48076
Location Phone
(248) 559-1220
Location Fax
(248) 559-4300
Mailing Address
20307 W 12 MILE RD STE 101 SOUTHFIELD, MI 48076
Mailing Phone
(248) 559-1220
Mailing Fax
(248) 559-4300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2023
Last Update Date
01-26-2023
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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

Insurance Plans Accepted

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

  • Blue Dental EPO 80/50/50 (0/0/0) - EPO
  • Blue Dental PPO 100/50/50 (50/50/50) - PPO
  • Blue Dental PPO 100/70/50 (80/60/50) - PPO
  • Blue Dental PPO 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Pediatric 80/50/50 (50/50/50) - PPO
  • Blue Dental PPO Plus 80/60/50 - 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

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

WALA SALAMA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(248) 559-1220

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
1700932241MEDICAID (05)MI 

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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 1295441822, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
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 9 → 18 → 9 4 → 8 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 8 + 5 + 8 + 4 + 2 + 8 + 4 + 24 = 68

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

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1295441822.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine
20307 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076
Dentist (General Practice)
20307 W 12 MILE RD STE 101
SOUTHFIELD, MI 48076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295441822, enumerated as an "organization" on January 26, 2023.

The provider is located at 20307 W 12 MILE RD STE 101 SOUTHFIELD, MI 48076 and the phone number is (248) 559-1220.

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

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