PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
NPI 1588703490
Dentist - Periodontics in Park Ridge, IL
NPI Status: Active since February 06, 2007
Contact Information
1875 DEMPSTER ST
SUITE 250
PARK RIDGE, IL
ZIP 60068
Phone: (847) 698-1180
Fax: (847) 698-1185
- Organization
- Dentist
- Periodontics
About PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
This page provides the complete NPI Profile along with additional information for Periodontal Medicine And Surgical Specialists, Llc, a provider established in Park Ridge, Illinois operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1588703490 assigned on February 2007. The practitioner's primary taxonomy code is 1223P0300X with license number 019024971 (IL). 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 provider's former legal business name is Periodontal Medicine And Surgical Specialists, Ltd. The authorized official of this NPI record is Dr. George A Mandelaris Dds (Owner Periodontist)
- NPI
- 1588703490
- Provider Legal Name
- PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
- Other Organization Name
- PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LTD
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1875 DEMPSTER ST SUITE 250 PARK RIDGE, IL 60068
- Location Phone
- (847) 698-1180
- Location Fax
- (847) 698-1185
- Mailing Address
- 1S224 SUMMIT AVE SUITE 205 OAKBROOK TERRACE, IL 60181
- Mailing Phone
- (630) 627-3930
- Mailing Fax
- (847) 698-1185
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-06-2007
- Last Update Date
- 12-29-2016
- Code Navigator
A dentist like Periodontal Medicine And Surgical Specialists, Llc 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
- License No.
- 019024971
- License State
- IL
- 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.
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 | 1223P0300X | Dental Providers | Dentist | 019030200 (IL) |
| 2 | 1223P0300X | Dental Providers | Dentist | 019014972 (IL) |
| 3 | 124Q00000X | Dental Providers | Dental Hygienist | 020005282 (IL) |
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.
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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 1588703490, 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588703490, enumerated as an "organization" on February 06, 2007.
The provider is located at 1875 DEMPSTER ST SUITE 250 PARK RIDGE, IL 60068 and the phone number is (847) 698-1180.
Dentist with taxonomy code 1223P0300X and a focus in Periodontics.
