KNOB CREEK ORAL CLINIC
NPI 1497142137
Clinic/Center - Oral and Maxillofacial Surgery in Johnson City, TN

NPI Status: Active since April 21, 2015

Contact Information

2306 KNOB CREEK RD
SUITE 108
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 467-5009

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About KNOB CREEK ORAL CLINIC

This page provides the complete NPI Profile along with additional information for Knob Creek Oral Clinic, a provider established in Johnson City, Tennessee operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1497142137 assigned on April 2015. The practitioner's primary taxonomy code is 261QS0112X with license number DS0000009647 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Sandford W Prince Dmd (Oral Surgeon)

NPI
1497142137
Provider Name
KNOB CREEK ORAL CLINIC
Entity Type
Organization
Location Address
2306 KNOB CREEK RD SUITE 108 JOHNSON CITY, TN 37604
Location Phone
(423) 467-5009
Mailing Address
2306 KNOB CREEK RD SUITE 108 JOHNSON CITY, TN 37604
Mailing Phone
(423) 467-5009
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-21-2015
Last Update Date
04-21-2015
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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.
DS0000009647
License State
TN
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

DR. SANDFORD W PRINCE DMD

Authorized Official Title
ORAL SURGEON
Authorized Official Phone
(423) 467-5010

Reviews for KNOB CREEK ORAL CLINIC

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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 1497142137, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 9 → 18 → 9 1 → 2 2 → 4 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 8 + 7 + 2 + 4 + 4 + 1 + 6 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1497142137.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Optometrist
2306 KNOB CREEK RD, #106
JOHNSON CITY, TN 37604
Optometrist
2306 KNOB CREEK RD
JOHNSON CITY, TN 37604
Specialist
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 37604
Colon & Rectal Surgery
2306 KNOB CREEK RD, SUITE 100
JOHNSON CITY, TN 37604
Optometrist
2306 KNOB CREEK RD, SUITE 106
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497142137, enumerated as an "organization" on April 21, 2015.

The provider is located at 2306 KNOB CREEK RD SUITE 108 JOHNSON CITY, TN 37604 and the phone number is (423) 467-5009.

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