BRAZOS VALLEY SMILES, PC
NPI 1386924694
Clinic/Center - Dental in College Station, TX
NPI Status: Active since August 18, 2011
Contact Information
1103 ROCK PRAIRIE RD STE 1001
COLLEGE STATION, TX
ZIP 77845
Phone: (979) 694-5200
Fax: (979) 694-5223
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
About BRAZOS VALLEY SMILES, PC
This page provides the complete NPI Profile along with additional information for Brazos Valley Smiles, Pc, a provider established in College Station, Texas operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1386924694 assigned on August 2011. The practitioner's primary taxonomy code is 261QD0000X with license number 19635 (TX). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Ketan Arun Sukkawala Dds (President)
- NPI
- 1386924694
- Provider Name
- BRAZOS VALLEY SMILES, PC
- Entity Type
- Organization
- Location Address
- 1103 ROCK PRAIRIE RD STE 1001 COLLEGE STATION, TX 77845
- Location Phone
- (979) 694-5200
- Location Fax
- (979) 694-5223
- Mailing Address
- 1103 ROCK PRAIRIE RD STE 1001 COLLEGE STATION, TX 77845
- Mailing Phone
- (979) 694-5200
- Mailing Fax
- (979) 694-5223
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2011
- Last Update Date
- 06-11-2019
- Code Navigator
Location Map
Secondary Locations
- 1109 Rock Prairie Rd Ste. 300
College Station, TX 77845
(979) 694-5200
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
- License No.
- 19635
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- DentaQuest PPO Pediatric High - PPO
- DentaQuest PPO Family Basic - PPO
- DentaQuest PPO Family High - PPO
- DentaQuest PPO Family Low - 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.
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 |
|---|---|---|---|
| 009547301 | MEDICAID (05) | TX | |
| 090878203 | MEDICAID (05) | TX | |
| 26291 | OTHER (01) | TX | DENTAL LICENSE NUMBER |
| 19635 | OTHER (01) | TX | DENTAL LICENSE NUMBER |
| 26496 | OTHER (01) | TX | DENTAL LICENSE NUMBER |
| 12102 | OTHER (01) | TX | DENTAL LICENSE NUMBER |
| 280969101 | MEDICAID (05) | TX | |
| 316310702 | MEDICAID (05) | TX |
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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 1386924694, we treat the final digit (4) 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 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).
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 76 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
COLLEGE STATION, TX 77845
COLLEGE STATION, TX 77845
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386924694, enumerated as an "organization" on August 18, 2011.
The provider is located at 1103 ROCK PRAIRIE RD STE 1001 COLLEGE STATION, TX 77845 and the phone number is (979) 694-5200.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
The provider might be accepting Accepts: DentaQuest USA Insurance Company, Inc., Medicare. Please consult your insurance carrier or call the provider to verify.
