COLUMBIA PARK ORAL SURGERY PC
NPI 1639103658
Dentist - Oral and Maxillofacial Surgery in Portland, OR

NPI Status: Active since July 10, 2006

Contact Information

3549 N LOMBARD
PORTLAND, OR
ZIP 97217
Phone: (503) 289-9621
Fax: (503) 289-2930

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About COLUMBIA PARK ORAL SURGERY PC

This page provides the complete NPI Profile along with additional information for Columbia Park Oral Surgery Pc, a provider established in Portland, Oregon operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1639103658 assigned on July 2006. The practitioner's primary taxonomy code is 1223S0112X with license number D6081 (OR). The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Jan A Kooning Dmd (President)

NPI
1639103658
Provider Name
COLUMBIA PARK ORAL SURGERY PC
Entity Type
Organization
Location Address
3549 N LOMBARD PORTLAND, OR 97217
Location Phone
(503) 289-9621
Location Fax
(503) 289-2930
Mailing Address
3549 N LOMBARD PORTLAND, OR 97217
Mailing Phone
(503) 289-9621
Mailing Fax
(503) 289-2930
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-10-2006
Last Update Date
08-22-2020
Code Navigator

A dentist like Columbia Park Oral Surgery Pc 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.

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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

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
D6081
License State
OR
Taxonomy Description
An oral and maxillofacial surgery dentist 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.

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

MR. JAN A KOONING DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(503) 289-9621

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639103658
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669206610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 0 + 6 + 6 + 1 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1639103658 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

MR. JAN ANDREW KOONING DMD PC

Dentist

(Oral and Maxillofacial Surgery)

3549 N LOMBARD
PORTLAND, OR
ZIP 97217

(503) 289-9621

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639103658, enumerated as an "organization" on July 10, 2006.

The provider is located at 3549 N LOMBARD PORTLAND, OR 97217 and the phone number is (503) 289-9621.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.