TABLE ROCK ORAL SURGERY AND DENTAL IMPLANTS
NPI 1487238689
Clinic/Center - Oral and Maxillofacial Surgery in Boise, ID

NPI Status: Active since May 12, 2021

Contact Information

403 S 11TH ST STE 320
BOISE, ID
ZIP 83702
Phone: (208) 375-0191

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About TABLE ROCK ORAL SURGERY AND DENTAL IMPLANTS

This page provides the complete NPI Profile along with additional information for Table Rock Oral Surgery And Dental Implants, a provider established in Boise, Idaho operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1487238689 assigned on May 2021. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Table Rock Oral Surgery And Dental Implants. The authorized official of this NPI record is Timothy Obrien Dds, Md (Owner)

NPI
1487238689
Provider Legal Name
TABLE ROCK ORAL SURGERY PLLC
Other Organization Name
TABLE ROCK ORAL SURGERY AND DENTAL IMPLANTS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
403 S 11TH ST STE 320 BOISE, ID 83702
Location Phone
(208) 375-0191
Mailing Address
403 S 11TH ST STE 320 BOISE, ID 83702
Mailing Phone
(208) 375-0191
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2021
Last Update Date
04-10-2024
Code Navigator

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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
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

TIMOTHY OBRIEN DDS, MD

Authorized Official Title
OWNER
Authorized Official Phone
(208) 412-0637

Reviews for TABLE ROCK ORAL SURGERY AND DENTAL IMPLANTS

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1487238689, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 2 → 4 8 → 16 → 7 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 + 6 + 7 + 4 + 3 + 1 + 6 + 6 + 1 + 6 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1487238689.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
403 S 11TH ST STE 320
BOISE, ID 83702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487238689, enumerated as an "organization" on May 12, 2021.

The provider is located at 403 S 11TH ST STE 320 BOISE, ID 83702 and the phone number is (208) 375-0191.

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