ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
NPI 1316954928
Oral & Maxillofacial Surgery in Altoona, WI

NPI Status: Active since August 03, 2006

Contact Information

788 OAKLEAF WAY
ALTOONA, WI
ZIP 54720
Phone: (715) 834-8414
Fax: (715) 834-3557

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Oral & Maxillofacial Surgery
Accepts Insurance

About ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC

This page provides the complete NPI Profile along with additional information for Oral And Maxillofacial Surgery Asso Of Eau Claire Sc, a provider established in Altoona, Wisconsin operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1316954928 assigned on August 2006. The practitioner's primary taxonomy code is 204E00000X with license number 4495-015 (WI). The provider is registered as an organization and their NPI record was last updated 8 years ago. Oral And Maxillofacial Surgery Asso Of Eau Claire Sc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Oral And Maxillofacial Surgery Associates Of Eau Claire Sc. The authorized official of this NPI record is Gina K Thor (Transcription And Credentialing)

NPI: 1316954928
Provider Legal Name: ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
Other Organization Name: ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF EAU CLAIRE SC
Other Name Type: Former Legal Business Name (4)
Entity Type: Organization
Location Address: 788 OAKLEAF WAY ALTOONA, WI 54720
Location Phone: (715) 834-8414
Location Fax: (715) 834-3557
Mailing Address: 1120 OAK RIDGE DRIVE EAU CLAIRE, WI 54701
Mailing Phone: (715) 834-8414
Mailing Fax: (715) 834-3557
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-03-2006
Last Update Date: 07-26-2018
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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: Oral & Maxillofacial Surgery
Taxonomy Code: 204E00000X
Type: Allopathic & Osteopathic Physicians
License No.: 4495-015
License State: WI
Taxonomy Description: Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	1223E0200X	Dental Providers	Dentist Endodontics
2	1223E0200X	Dental Providers	Dentist Endodontics	6222-15 (WI)
3	1223E0200X	Dental Providers	Dentist Endodontics	4412-015 (WI)
4	1223S0112X	Dental Providers	Dentist Oral and Maxillofacial Surgery
5	204E00000X	Allopathic & Osteopathic Physicians	Oral & Maxillofacial Surgery	4680-015 (WI)
6	204E00000X	Allopathic & Osteopathic Physicians	Oral & Maxillofacial Surgery	5112-015 (WI)
7	204E00000X	Allopathic & Osteopathic Physicians	Oral & Maxillofacial Surgery	5563-015 (WI)

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.

Insurance Plans Accepted

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

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

HealthPartners

NE WI Select $3,150 Plus Silver - PPO
NE WI Select $3,800 HSA Silver - PPO
NE WI Select $6,000 Standard Silver - PPO
NE WI Select $6,800 Plus Bronze HSA - PPO
NE WI Select $7,500 Standard Bronze HSA - PPO
NE WI Select $8,400 HSA Bronze - PPO

Security Health Plan

Enrich $2,000 - 25% - HMO
Enrich $3,500 - 30% - HMO
Enrich $4,000 - 50% - HMO
Enrich $5,000 HDHP - HMO
Enrich $6,000 - 40% - HMO
Enrich $7,500 - HMO
Enrich $7,500 HDHP - HMO
Enrich $9,500 - HMO
Enrich Protection - HMO
Premier $2,000 - 25% - HMO
Premier $3,500 - 30% - HMO
Premier $4,000 - 50% - HMO
Premier $5,000 HDHP - HMO
Premier $6,000 - 40% - HMO
Premier $7,500 - HMO
Premier $7,500 HDHP - HMO
Select $2,000 - 25% - EPO
Select $3,500 - 30% - EPO
Select $4,000 - 50% - EPO
Select $5,000 HDHP - EPO

*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: GINA K THOR
Authorized Official Title: TRANSCRIPTION AND CREDENTIALING
Authorized Official Phone: (715) 834-8414

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 1316954928, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 4

Check

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 1 → 2 9 → 18 → 9 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 2 + 6 + 1 + 8 + 5 + 8 + 9 + 4 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8

This NPI is valid

The calculated check digit is 8, which matches the last digit of 1316954928.