JOHNSON ORAL SURGERY
NPI 1639353659
Clinic/Center - Oral and Maxillofacial Surgery in Mooresville, NC

NPI Status: Active since December 27, 2007

Contact Information

229 MEDICAL PARK RD
SUITE 310
MOORESVILLE, NC
ZIP 28117
Phone: (704) 799-0771
Fax: (704) 799-2941

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About JOHNSON ORAL SURGERY

This page provides the complete NPI Profile along with additional information for Johnson Oral Surgery, a provider established in Mooresville, North Carolina operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1639353659 assigned on December 2007. The practitioner's primary taxonomy code is 261QS0112X with license number 9900556 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Johnson Oral Surgery. The authorized official of this NPI record is Mrs. Kelly Mccarter (Office Manager)

NPI
1639353659
Provider Legal Name
IREDELL ORAL & FACIAL SURGERY PC
Other Organization Name
JOHNSON ORAL SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
229 MEDICAL PARK RD SUITE 310 MOORESVILLE, NC 28117
Location Phone
(704) 799-0771
Location Fax
(704) 799-2941
Mailing Address
229 MEDICAL PARK RD SUITE 310 MOORESVILLE, NC 28117
Mailing Phone
(704) 799-0771
Mailing Fax
(704) 799-2941
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2007
Last Update Date
08-29-2014
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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

Clinic/Center Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
License No.
9900556
License State
NC
Taxonomy Description
An oral and maxillofacial surgery clinic or center 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.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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. KELLY MCCARTER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(704) 799-0771

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
891218UMEDICAID (05)NC 
1218UOTHER (01)NCBLUE CROSS BLUE SHIELD
2331506MEDICARE PIN (08)NC 
H00352MEDICARE UPIN (02)NC 

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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 1639353659, 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
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
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 3 → 6 3 → 6 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 6 + 9 + 6 + 5 + 6 + 6 + 1 + 0 + 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 1639353659.

Other Providers at the Same Location


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

Dentist (General Practice)
229 MEDICAL PARK RD, SUITE 220
MOORESVILLE, NC 28117

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639353659, enumerated as an "organization" on December 27, 2007.

The provider is located at 229 MEDICAL PARK RD SUITE 310 MOORESVILLE, NC 28117 and the phone number is (704) 799-0771.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.