ADVANCED CRANIOFACIAL PAIN CARE CLINIC PLLC
NPI 1568782969
Dentist in Oklahoma City, OK

NPI Status: Active since June 08, 2010

Contact Information

4401 W MEMORIAL RD
SUITE 135
OKLAHOMA CITY, OK
ZIP 73134
Phone: (405) 751-5515
Fax: (405) 751-6606

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  • Organization
  • Dentist
  • CLIA Number: 37D2128829
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-16-2027

About ADVANCED CRANIOFACIAL PAIN CARE CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Advanced Craniofacial Pain Care Clinic Pllc, a provider established in Oklahoma City, Oklahoma operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1568782969 assigned on June 2010. The practitioner's primary taxonomy code is 122300000X with license number 5510 (OK). The provider is registered as an organization and their NPI record was last updated 16 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 Teresa K Davis Dds (President)

NPI
1568782969
Provider Name
ADVANCED CRANIOFACIAL PAIN CARE CLINIC PLLC
Entity Type
Organization
Location Address
4401 W MEMORIAL RD SUITE 135 OKLAHOMA CITY, OK 73134
Location Phone
(405) 751-5515
Location Fax
(405) 751-6606
Mailing Address
4401 W MEMORIAL RD SUITE 135 OKLAHOMA CITY, OK 73134
Mailing Phone
(405) 751-5515
Mailing Fax
(405) 751-6606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2010
Last Update Date
06-08-2010
Code Navigator

A dentist like Advanced Craniofacial Pain Care Clinic Pllc 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
5510
License State
OK
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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

TERESA K DAVIS DDS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(405) 751-5515

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
37D2128829
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 17, 2025
Certificate Expiration Date
July 16, 2027
Laboratory Director
DWAYNE SCHMIDT
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Advanced Craniofacial Pain Care Clinic Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1568782969, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
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 7 → 14 → 5 2 → 4 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 + 1 + 2 + 8 + 1 + 4 + 8 + 4 + 9 + 1 + 2 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568782969.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Dentist (General Practice)
4401 W MEMORIAL RD, SUITE 135
OKLAHOMA CITY, OK 73134
Dentist (General Practice)
4401 W MEMORIAL RD, SUITE 135
OKLAHOMA CITY, OK 73134
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4401 W MEMORIAL RD
OKLAHOMA CITY, OK 73134
Pharmacy (Community/Retail Pharmacy)
4401 W MEMORIAL RD, STE 138
OKLAHOMA CITY, OK 73134
Social Worker (Clinical)
4401 W MEMORIAL RD, SUITE 143
OKLAHOMA CITY, OK 73134
Dentist (General Practice)
4401 W MEMORIAL RD, SUITE #135
OKLAHOMA CITY, OK 73134
Chiropractor
4401 W MEMORIAL RD, SUITE 137
OKLAHOMA CITY, OK 73134
Internal Medicine (Hematology & Oncology)
4401 W MEMORIAL RD, 2700
OKLAHOMA CITY, OK 73134
Chiropractor
4401 W MEMORIAL RD, SUITE 137
OKLAHOMA CITY, OK 73134
Specialist
4401 W MEMORIAL RD, SUITE 113
OKLAHOMA CITY, OK 73134
Physician Assistant
4401 W MEMORIAL RD
OKLAHOMA CITY, OK 73134

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568782969, enumerated as an "organization" on June 08, 2010.

The provider is located at 4401 W MEMORIAL RD SUITE 135 OKLAHOMA CITY, OK 73134 and the phone number is (405) 751-5515.

Dentist with taxonomy code 122300000X.