BOTTS DENTAL SPA PC
NPI 1508007717
Clinic/Center - Dental in Cordova, TN

NPI Status: Active since March 18, 2009

Contact Information

1055 N. HOUSTON LEVEE RD.
SUITE 102
CORDOVA, TN
ZIP 38018
Phone: (901) 737-2200
Fax: (901) 737-2277

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  • Organization
  • Clinic/Center
  • Dental

About BOTTS DENTAL SPA PC

This page provides the complete NPI Profile along with additional information for Botts Dental Spa Pc, a provider established in Cordova, Tennessee operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1508007717 assigned on March 2009. The practitioner's primary taxonomy code is 261QD0000X with license number DS0000008754 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jason Bryce Botts Dds (President/owner)

NPI
1508007717
Provider Name
BOTTS DENTAL SPA PC
Entity Type
Organization
Location Address
1055 N. HOUSTON LEVEE RD. SUITE 102 CORDOVA, TN 38018
Location Phone
(901) 737-2200
Location Fax
(901) 737-2277
Mailing Address
1055 N. HOUSTON LEVEE RD. SUITE 102 CORDOVA, TN 38018
Mailing Phone
(901) 737-2200
Mailing Fax
(901) 737-2277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-18-2009
Last Update Date
11-06-2009
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
DS0000008754
License State
TN

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)
11223G0001XDental Providers

Dentist
General Practice

 
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

BB9917824 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. JASON BRYCE BOTTS DDS

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(901) 737-2200

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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 1508007717, 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
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 0 → 0 0 → 0 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 0 + 0 + 1 + 4 + 7 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508007717.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508007717, enumerated as an "organization" on March 18, 2009.

The provider is located at 1055 N. HOUSTON LEVEE RD. SUITE 102 CORDOVA, TN 38018 and the phone number is (901) 737-2200.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.