SAMUEL PARK DMD
NPI 1609448646
Dentist in Tinker Afb, OK

NPI Status: Active since July 10, 2021

Contact Information

7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK
ZIP 73145
Phone: (954) 290-7165

NPI Profile Information
Primary Taxonomy
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Dentist

About SAMUEL PARK

This page provides the complete NPI Profile along with additional information for Samuel Park, a provider established in Tinker Afb, Oklahoma with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1609448646 assigned on July 2021. The practitioner's primary taxonomy code is 122300000X with license number 0401417587 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI: 1609448646
Provider Name: SAMUEL PARK DMD
Gender: Male
Entity Type: Individual
Location Address: 7050 AIR DEPOT BLVD BLDG 1094 TINKER AFB, OK 73145
Location Phone: (954) 290-7165
Mailing Address: 5306 TRACTOR LN FAIRFAX, VA 22030
Mailing Phone: (954) 290-7165
Is Sole Proprietor?: No
Enumeration Date: 07-10-2021
Last Update Date: 11-24-2024
Code Navigator

A dentist like Samuel Park 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

76 Nealy Blvd Bldg 92
Hampton, VA 23665
(757) 225-7630

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.: 0401417587
License State: VA
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.

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 1609448646, 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

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 8

Check

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 0 → 0 4 → 8 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 8 + 4 + 1 + 6 + 6 + 8 + 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 1609448646.