DR. ALBERT JOHN SCHMITT JR. MD
NPI 1295846301
Dentist - General Practice in Kennett Square, PA
NPI Status: Active since August 31, 2006
Contact Information
415 MCFARLAN RD
STE 205
KENNETT SQUARE, PA
ZIP 19248
Phone: (610) 444-6300
Fax: (610) 444-4606
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About ALBERT SCHMITT
This page provides the complete NPI Profile along with additional information for Albert Schmitt, a provider established in Kennett Square, Pennsylvania with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1295846301 assigned on August 2006. The practitioner's primary taxonomy code is 1223G0001X with license number DS028189L (PA). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1295846301
- Provider Name
- DR. ALBERT JOHN SCHMITT JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 415 MCFARLAN RD STE 205 KENNETT SQUARE, PA 19248
- Location Phone
- (610) 444-6300
- Location Fax
- (610) 444-4606
- Mailing Address
- 415 MCFARLAN RD STE 205 KENNETT SQUARE, PA 19248
- Mailing Phone
- (610) 444-6300
- Mailing Fax
- (610) 444-4606
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A dentist like Albert Schmitt 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.
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.
- DS028189L
- License State
- PA
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - Basic - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Albert Schmitt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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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 1295846301, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295846301, enumerated as an "individual" on August 31, 2006.
The provider is located at 415 MCFARLAN RD STE 205 KENNETT SQUARE, PA 19248 and the phone number is (610) 444-6300.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Humana. Please consult your insurance carrier or call the provider to verify.
