DR. LISA ANN JEDACEK DMD, MPH
NPI 1528650710
Dentist - Dentist Anesthesiologist in Bronx, NY
NPI Status: Active since February 09, 2021
Contact Information
1400 PELHAM PKWY S
BRONX, NY
ZIP 10461
Phone: (718) 918-5000
- Individual
- Female
- Dentist
- Dentist Anesthesiologist
- Accepts Insurance
About LISA JEDACEK
This page provides the complete NPI Profile along with additional information for Lisa Jedacek, a provider established in Bronx, New York with a medical specialization in Dentist, focusing in dentist anesthesiologist . The healthcare provider is registered in the NPI registry with number 1528650710 assigned on February 2021. The practitioner's primary taxonomy code is 1223D0004X with license number 0401418721 (VA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1528650710
- Provider Name
- DR. LISA ANN JEDACEK DMD, MPH
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1400 PELHAM PKWY S BRONX, NY 10461
- Location Phone
- (718) 918-5000
- Mailing Address
- 1817 MAYFLOWER AVE BRONX, NY 10461
- Mailing Phone
- (440) 665-3973
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-09-2021
- Last Update Date
- 07-09-2024
- Code Navigator
A dentist like Lisa Jedacek is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 1516 NJ-138 Suite #1a
Wall Township, NJ 07719
(732) 681-5544 - 1700 Monroe St
Endicott, NY 13760
(607) 953-4445 - 378 Atlantic Ave
Brooklyn, NY 11217
(718) 412-5221 - 378 Atlantic Ave
Brooklyn, NY 11217
(718) 412-5221 - 5002 Airport Rd NW # 30
Roanoke, VA 24012
(540) 900-4782 - 1817 Mayflower Ave
Bronx, NY 10461
(440) 665-3973 - 11934 W Broad St Ste 120
Henrico, VA 23233
(804) 293-2662 - 2165 Cunningham Dr
Hampton, VA 23666
(757) 755-8846 - 4749 S Baldwin Rd
Lake Orion, MI 48359
(248) 422-0555
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
Dentist Dentist Anesthesiologist
- Taxonomy Code
- 1223D0004X
- Type
- Dental Providers
- License No.
- 0401418721
- License State
- VA
- Taxonomy Description
- A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
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 | 122300000X | Dental Providers | Dentist | 22DI03015700 (NJ) |
| 2 | 122300000X | Dental Providers | Dentist | 0401418721 (VA) |
| 3 | 122300000X | Dental Providers | Dentist | DN10000315 (MA) |
| 4 | 122300000X | Dental Providers | Dentist | 2901602093 (MI) |
| 5 | 122300000X | Dental Providers | Dentist | 30.027607 (OH) |
| 6 | 1223D0004X | Dental Providers | Dentist | DN10000315 (MA) |
| 7 | 1223D0004X | Dental Providers | Dentist | 2901602093 (MI) |
| 8 | 1223D0004X | Dental Providers | Dentist | 30.027607 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Individual Pediatric-Only PPO, EHB Certified - PPO
- Delta Dental Individual PPO Bronze Plan, EHB Certified - PPO
- Delta Dental Individual PPO Gold Plan, EHB Certified - PPO
- Delta Dental Individual PPO Silver Plan, EHB Certified - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for DR. LISA ANN JEDACEK DMD, MPH
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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 1528650710, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528650710, enumerated as an "individual" on February 09, 2021.
The provider is located at 1400 PELHAM PKWY S BRONX, NY 10461 and the phone number is (718) 918-5000.
Dentist with taxonomy code 1223D0004X and a focus in Dentist Anesthesiologist.
The provider might be accepting Accepts: Delta Dental of Ohio. Please consult your insurance carrier or call the provider to verify.
