PEORIA ORAL & IMPLANT SURGERY PLLC
NPI 1497265516
Oral & Maxillofacial Surgery in Peoria, AZ

NPI Status: Active since October 03, 2017

Contact Information

10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ
ZIP 85383
Phone: (623) 230-2297

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  • Organization
  • Oral & Maxillofacial Surgery
  • Accepts Insurance

About PEORIA ORAL & IMPLANT SURGERY PLLC

This page provides the complete NPI Profile along with additional information for Peoria Oral & Implant Surgery Pllc, a provider established in Peoria, Arizona operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1497265516 assigned on October 2017. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Nino Pollaccia Dds (Owner)

NPI
1497265516
Provider Name
PEORIA ORAL & IMPLANT SURGERY PLLC
Entity Type
Organization
Location Address
10210 W HAPPY VALLEY PKWY STE 150 PEORIA, AZ 85383
Location Phone
(623) 230-2297
Mailing Address
7926 W EMORY LN PEORIA, AZ 85383
Mailing Phone
(720) 470-1091
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2017
Last Update Date
03-24-2022
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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

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS0112XAmbulatory Health Care Facilities

Clinic/Center
Oral and Maxillofacial Surgery

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO

*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

NINO POLLACCIA DDS

Authorized Official Title
OWNER
Authorized Official Phone
(623) 230-2297

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497265516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187461052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 4 + 6 + 1 + 0 + 5 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1497265516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. NINO DEMETRIUS POLLACCIA DDS

Dentist

(Oral and Maxillofacial Surgery)

10210 W HAPPY VALLEY PKWY STE 150
PEORIA, AZ
ZIP 85383

(623) 230-2297

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497265516, enumerated as an "organization" on October 03, 2017.

The provider is located at 10210 W HAPPY VALLEY PKWY STE 150 PEORIA, AZ 85383 and the phone number is (623) 230-2297.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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