FREDERICK GUSTAVE, D.D.S., PC
NPI 1477720985
Clinic/Center - Oral and Maxillofacial Surgery in Carbondale, IL

NPI Status: Active since May 14, 2008

Contact Information

1111 E WALNUT ST
SUITE B
CARBONDALE, IL
ZIP 62901
Phone: (618) 529-2571
Fax: (618) 529-2572

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About FREDERICK GUSTAVE, D.D.S., PC

This page provides the complete NPI Profile along with additional information for Frederick Gustave, D.d.s., Pc, a provider established in Carbondale, Illinois operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1477720985 assigned on May 2008. The practitioner's primary taxonomy code is 261QS0112X with license number 019016600 (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 Dr. Frederick Gustave Dds (Owner/oral Surgeon)

NPI
1477720985
Provider Name
FREDERICK GUSTAVE, D.D.S., PC
Entity Type
Organization
Location Address
1111 E WALNUT ST SUITE B CARBONDALE, IL 62901
Location Phone
(618) 529-2571
Location Fax
(618) 529-2572
Mailing Address
1111 E WALNUT ST SUITE B CARBONDALE, IL 62901
Mailing Phone
(618) 529-2571
Mailing Fax
(618) 529-2572
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2008
Last Update Date
05-14-2008
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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.
019016600
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.

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.

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

DR. FREDERICK GUSTAVE DDS

Authorized Official Title
OWNER/ORAL SURGEON
Authorized Official Phone
(618) 529-2571

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
654820MEDICARE PIN (08)IL 

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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 1477720985, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
7
Doubled → 14 → 1 + 4
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
5
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 7 → 14 → 5 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 4 + 7 + 1 + 4 + 2 + 0 + 9 + 1 + 6 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1477720985.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (General Practice)
1111 E WALNUT ST
CARBONDALE, IL 62901
Specialist
1111 E WALNUT ST
CARBONDALE, IL 62901
Dentist
1111 E WALNUT ST
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477720985, enumerated as an "organization" on May 14, 2008.

The provider is located at 1111 E WALNUT ST SUITE B CARBONDALE, IL 62901 and the phone number is (618) 529-2571.

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

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