FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
NPI 1417123076
Clinic/Center - Oral and Maxillofacial Surgery in Dunlap, IL

NPI Status: Active since May 05, 2008

Contact Information

11825 N KNOXVILLE AVE
DUNLAP, IL
ZIP 61525
Phone: (309) 243-8980
Fax: (309) 243-8983

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC

This page provides the complete NPI Profile along with additional information for Facial Cosmetic & Reconstructive Surgery, Sc, a provider established in Dunlap, Illinois operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1417123076 assigned on May 2008. The practitioner's primary taxonomy code is 261QS0112X with license number 019025195 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Wendy Christine Morrison (Office Manager)

NPI
1417123076
Provider Name
FACIAL COSMETIC & RECONSTRUCTIVE SURGERY, SC
Entity Type
Organization
Location Address
11825 N KNOXVILLE AVE DUNLAP, IL 61525
Location Phone
(309) 243-8980
Location Fax
(309) 243-8983
Mailing Address
11825 N KNOXVILLE AVE DUNLAP, IL 61525
Mailing Phone
(309) 243-8980
Mailing Fax
(309) 243-8983
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-05-2008
Last Update Date
05-05-2008
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
019025195
License State
IL
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

WENDY CHRISTINE MORRISON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(309) 243-8980

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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 1417123076, 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 1 → 2 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 2 + 2 + 6 + 0 + 1 + 4 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1417123076.

Other Providers at the Same Location


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

Dentist (Periodontics)
11825 N KNOXVILLE AVE
DUNLAP, IL 61525
Dentist (Oral and Maxillofacial Surgery)
11825 N KNOXVILLE AVE
DUNLAP, IL 61525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417123076, enumerated as an "organization" on May 05, 2008.

The provider is located at 11825 N KNOXVILLE AVE DUNLAP, IL 61525 and the phone number is (309) 243-8980.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.