WAKE ORTHODONTICS & PEDIATRIC DENTISTRY
NPI 1306894597
Dentist - Pediatric Dentistry in Raleigh, NC

NPI Status: Active since May 04, 2006

Contact Information

7401 CREEDMOOR RD
RALEIGH, NC
ZIP 27613
Phone: (919) 848-3588
Fax: (919) 846-3550

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  • Organization
  • Dentist
  • Pediatric Dentistry
  • Accepts Insurance

About WAKE ORTHODONTICS & PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Wake Orthodontics & Pediatric Dentistry, a provider established in Raleigh, North Carolina operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1306894597 assigned on May 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 2934 (NC). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wake Orthodontics & Pediatric Dentistry. The authorized official of this NPI record is Linda Tarantino (Practice Manager)

NPI
1306894597
Provider Legal Name
MACON, COLLIE, PRETZER, KORNSTEIN AND HICKS DDS
Other Organization Name
WAKE ORTHODONTICS & PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7401 CREEDMOOR RD RALEIGH, NC 27613
Location Phone
(919) 848-3588
Location Fax
(919) 846-3550
Mailing Address
7401 CREEDMOOR RD RALEIGH, NC 27613
Mailing Phone
(919) 848-3588
Mailing Fax
(919) 846-3550
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2006
Last Update Date
10-05-2023
Code Navigator

A dentist like Wake Orthodontics & Pediatric Dentistry 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 Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
License No.
2934
License State
NC
Taxonomy Description
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health - EPO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Bronze Standard | with Novant Health - EPO
  • Blue Home Bronze Standard | with UNC Health Alliance - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Gold Standard | with Novant Health - EPO
  • Blue Home Gold Standard | with UNC Health Alliance - EPO

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.

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

LINDA TARANTINO

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(919) 719-1780

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
6367OTHER (01)NCROBERT A. MORAN JR. DDS
8578OTHER (01)NCTRAVIS M. HICKS, DDS
90106OTHER (01)NCSTEPHEN C. PRETZER - BCBS
12624OTHER (01)NCKATHRYN E. DUNDERVILL DDS
7712OTHER (01)NCDAVID J. KORNSTEIN, DDS

Reviews for WAKE ORTHODONTICS & PEDIATRIC DENTISTRY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306894597
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061698518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 6 + 9 + 8 + 5 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1306894597 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. KENNETH J. BENSON D.D.S.

Dentist

(Oral and Maxillofacial Surgery)

7401 CREEDMOOR RD
RALEIGH, NC
ZIP 27613

(919) 622-2035

DR. KATHRYN DUNDERVILL DMD

Dentist

(Pediatric Dentistry)

7401 CREEDMOOR RD
RALEIGH, NC
ZIP 27613

(919) 719-1780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306894597, enumerated as an "organization" on May 04, 2006.

The provider is located at 7401 CREEDMOOR RD RALEIGH, NC 27613 and the phone number is (919) 848-3588.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare,. Please consult your insurance carrier or call the provider to verify.