SEA GLASS PERIODONTICS OF GREENVILLE
NPI 1568084408
Dentist - Periodontics in Greenville, SC

NPI Status: Active since May 14, 2020

Contact Information

600 CONGAREE RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 757-8820
Fax: (864) 751-6387

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  • Organization
  • Dentist
  • Periodontics
  • Accepts Insurance

About SEA GLASS PERIODONTICS OF GREENVILLE

This page provides the complete NPI Profile along with additional information for Sea Glass Periodontics Of Greenville, a provider established in Greenville, South Carolina operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1568084408 assigned on May 2020. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 2 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 former legal business name is Diane Jenkins Periodontics Of Congaree Llc. The authorized official of this NPI record is Mrs. Beth Illsley (Director Of Insurance)

NPI
1568084408
Provider Legal Name
SEA GLASS PERIODONTICS OF GREENVILLE
Other Organization Name
DIANE JENKINS PERIODONTICS OF CONGAREE LLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
600 CONGAREE RD GREENVILLE, SC 29607
Location Phone
(864) 757-8820
Location Fax
(864) 751-6387
Mailing Address
400 MEMORIAL DRIVE EXT STE 400 GREER, SC 29651
Mailing Phone
(864) 282-1935
Mailing Fax
(864) 751-6387
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-14-2020
Last Update Date
10-09-2024
Code Navigator

A dentist like Sea Glass Periodontics Of Greenville 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

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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Secure Dental Gold 1 - PPO
  • Blue Secure Dental Silver 1 - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. BETH ILLSLEY

Authorized Official Title
DIRECTOR OF INSURANCE
Authorized Official Phone
(864) 282-1935

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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 1568084408, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 0 + 8 + 8 + 4 + 0 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1568084408.

Other Providers at the Same Location


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

Dentist (Periodontics)
600 CONGAREE RD
GREENVILLE, SC 29607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568084408, enumerated as an "organization" on May 14, 2020.

The provider is located at 600 CONGAREE RD GREENVILLE, SC 29607 and the phone number is (864) 757-8820.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina. Please consult your insurance carrier or call the provider to verify.