SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, SC
NPI 1538394556
Clinic/Center - Oral and Maxillofacial Surgery in Carbondale, IL

NPI Status: Active since May 19, 2009

Contact Information

2250 N REED STATION RD
SUITE 201
CARBONDALE, IL
ZIP 62901
Phone: (618) 519-9363
Fax: (618) 519-9364

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • CLIA Number: 14D2194725
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-01-2026

About SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, SC

This page provides the complete NPI Profile along with additional information for Shawnee Hills Oral & Maxillofacial Surgery, Sc, a provider established in Carbondale, Illinois operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1538394556 assigned on May 2009. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Jonathan W. Burton D.m.d. (President)

NPI
1538394556
Provider Name
SHAWNEE HILLS ORAL & MAXILLOFACIAL SURGERY, SC
Entity Type
Organization
Location Address
2250 N REED STATION RD SUITE 201 CARBONDALE, IL 62901
Location Phone
(618) 519-9363
Location Fax
(618) 519-9364
Mailing Address
2250 N REED STATION RD SUITE 201 CARBONDALE, IL 62901
Mailing Phone
(618) 519-9363
Mailing Fax
(618) 519-9364
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2009
Last Update Date
05-19-2009
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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 Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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. JONATHAN W. BURTON D.M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(618) 519-9363

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
14D2194725
Facility Type
Physician Office
Certificate Effective Date
October 02, 2024
Certificate Expiration Date
October 01, 2026
Laboratory Director
JONATHAN W. BURTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shawnee Hills Oral & Maxillofacial Surgery, Sc 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 1538394556, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
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 3 → 6 3 → 6 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 6 + 9 + 8 + 5 + 1 + 0 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1538394556.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
2250 N REED STATION RD, SUITE 201
CARBONDALE, IL 62901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538394556, enumerated as an "organization" on May 19, 2009.

The provider is located at 2250 N REED STATION RD SUITE 201 CARBONDALE, IL 62901 and the phone number is (618) 519-9363.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.