MICHAEL L BOBO DDS MD PSC
NPI 1518141100
Oral & Maxillofacial Surgery in Murray, KY
NPI Status: Active since December 19, 2007
Contact Information
1109 POPLAR ST
MURRAY, KY
ZIP 42071
Phone: (270) 759-4063
Fax: (270) 759-4920
- Organization
- Oral & Maxillofacial Surgery
- CLIA Number: 18D2323063
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-30-2027
About MICHAEL L BOBO DDS MD PSC
This page provides the complete NPI Profile along with additional information for Michael L Bobo Dds Md Psc, a provider established in Murray, Kentucky operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1518141100 assigned on December 2007. The practitioner's primary taxonomy code is 204E00000X with license number 34759 (KY). The provider is registered as an organization and their NPI record was last updated 10 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. Michael L Bobo Dds., Md. (Owner/president)
- NPI
- 1518141100
- Provider Name
- MICHAEL L BOBO DDS MD PSC
- Entity Type
- Organization
- Location Address
- 1109 POPLAR ST MURRAY, KY 42071
- Location Phone
- (270) 759-4063
- Location Fax
- (270) 759-4920
- Mailing Address
- 1109 POPLAR ST MURRAY, KY 42071
- Mailing Phone
- (270) 759-4063
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2007
- Last Update Date
- 08-04-2016
- 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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34759
- License State
- KY
- 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) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | 7465 (KY) |
| 2 | 1223S0112X | Dental Providers | Dentist | 7404 (TN) |
| 3 | 204E00000X | Allopathic & Osteopathic Physicians | Oral & Maxillofacial Surgery | 30866 (TN) |
Group Taxonomy 193400000X MULTIPLE 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 65934655 | MEDICAID (05) | KY | |
| 1518748 | MEDICAID (05) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D2323063
- Facility Type
- Physician Office
- Certificate Effective Date
- May 01, 2025
- Certificate Expiration Date
- April 30, 2027
- Laboratory Director
- DR. MICHAEL L. BOBO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Michael L Bobo Dds Md Psc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1518141100, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518141100, enumerated as an "organization" on December 19, 2007.
The provider is located at 1109 POPLAR ST MURRAY, KY 42071 and the phone number is (270) 759-4063.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
