EXPEDITION ORAL SURGERY
NPI 1508375965
Oral & Maxillofacial Surgery in Fort Worth, TX

NPI Status: Active since September 28, 2017

Contact Information

9676 BARTLETT CIR STE 950
FORT WORTH, TX
ZIP 76108
Phone: (817) 945-2971
Fax: (817) 841-1074

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  • Organization
  • Oral & Maxillofacial Surgery

About EXPEDITION ORAL SURGERY

This page provides the complete NPI Profile along with additional information for Expedition Oral Surgery, a provider established in Fort Worth, Texas operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1508375965 assigned on September 2017. The practitioner's primary taxonomy code is 204E00000X with license number 25803 (TX). The provider is registered as an organization and their NPI record was last updated 4 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 provider's is doing business as Expedition Oral Surgery. The authorized official of this NPI record is Dr. Mau K Pham Dds, Md (Owner)

NPI
1508375965
Provider Legal Name
DIOMS, PLLC
Other Organization Name
EXPEDITION ORAL SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
9676 BARTLETT CIR STE 950 FORT WORTH, TX 76108
Location Phone
(817) 945-2971
Location Fax
(817) 841-1074
Mailing Address
9676 BARTLETT CIR STE 950 FORT WORTH, TX 76108
Mailing Phone
(817) 945-2971
Mailing Fax
(817) 841-1074
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-28-2017
Last Update Date
07-21-2022
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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
License No.
25803
License State
TX
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.

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. MAU K PHAM DDS, MD

Authorized Official Title
OWNER
Authorized Official Phone
(817) 945-2971

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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 1508375965, 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
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
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 0 → 0 3 → 6 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 0 + 8 + 6 + 7 + 1 + 0 + 9 + 1 + 2 + 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 1508375965.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508375965, enumerated as an "organization" on September 28, 2017.

The provider is located at 9676 BARTLETT CIR STE 950 FORT WORTH, TX 76108 and the phone number is (817) 945-2971.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.