DR. PAUL M. CLARK JR. DDS
NPI 1386758936
Dentist - Oral and Maxillofacial Pathology in Shreveport, LA

NPI Status: Active since August 19, 2006

Contact Information

2120 BERT KOUNS INDUSTRIAL LOOP
SUITE D
SHREVEPORT, LA
ZIP 71118
Phone: (318) 687-9800
Fax: (318) 687-4752

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  • Individual
  • Male
  • Dentist
  • Oral and Maxillofacial Pathology

About PAUL CLARK

This page provides the complete NPI Profile along with additional information for Paul Clark, a provider established in Shreveport, Louisiana with a medical specialization in Dentist, focusing in oral and maxillofacial pathology . The healthcare provider is registered in the NPI registry with number 1386758936 assigned on August 2006. The practitioner's primary taxonomy code is 1223P0106X with license number 2432 (LA). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1386758936
Provider Name
DR. PAUL M. CLARK JR. DDS
Gender
Male
Entity Type
Individual
Location Address
2120 BERT KOUNS INDUSTRIAL LOOP SUITE D SHREVEPORT, LA 71118
Location Phone
(318) 687-9800
Location Fax
(318) 687-4752
Mailing Address
2120 BERT KOUNS INDUSTRIAL LOOP SUITE D SHREVEPORT, LA 71118
Mailing Phone
(318) 687-9800
Mailing Fax
(318) 687-4752
Is Sole Proprietor?
No
Enumeration Date
08-19-2006
Last Update Date
07-08-2007
Code Navigator

A dentist like Paul Clark 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 Oral and Maxillofacial Pathology

Taxonomy Code
1223P0106X
Type
Dental Providers
License No.
2432
License State
LA
Taxonomy Description
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.

Insurance Plans Accepted

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

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.

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
58046MEDICARE ID-TYPE UNSPECIFIED (04)LA 
T19750MEDICARE UPIN (02)LA 

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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 1386758936, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
6
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 7 → 14 → 5 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 + 3 + 1 + 6 + 6 + 1 + 4 + 5 + 1 + 6 + 9 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1386758936.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Dentist (General Practice)
2120 BERT KOUNS INDUSTRIAL LOOP, STE. E
SHREVEPORT, LA 71118
Obstetrics & Gynecology (Gynecology)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE C
SHREVEPORT, LA 71118
Clinic/Center (Primary Care)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE M
SHREVEPORT, LA 71118
Internal Medicine
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE F
SHREVEPORT, LA 71118
Dentist (General Practice)
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE E
SHREVEPORT, LA 71118
Family Medicine
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE M
SHREVEPORT, LA 71118
Clinic/Center (Federally Qualified Health Center (FQHC))
2120 BERT KOUNS INDUSTRIAL LOOP, SUITE A
SHREVEPORT, LA 71118
Nurse Practitioner (Pediatrics)
2120 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386758936, enumerated as an "individual" on August 19, 2006.

The provider is located at 2120 BERT KOUNS INDUSTRIAL LOOP SUITE D SHREVEPORT, LA 71118 and the phone number is (318) 687-9800.

Dentist with taxonomy code 1223P0106X and a focus in Oral and Maxillofacial Pathology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.