NORTH DAKOTA ORAL SURGERY & DENTAL IMPLANT CENTER
NPI 1649816828
Clinic/Center - Oral and Maxillofacial Surgery in Minot, ND
NPI Status: Active since November 21, 2019
Contact Information
2615 ELK DR STE 3
MINOT, ND
ZIP 58701
Phone: (701) 852-3421
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 35D2176659
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 12-18-2027
About NORTH DAKOTA ORAL SURGERY & DENTAL IMPLANT CENTER
This page provides the complete NPI Profile along with additional information for North Dakota Oral Surgery & Dental Implant Center, a provider established in Minot, North Dakota operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1649816828 assigned on November 2019. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 6 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 is doing business as North Dakota Oral Surgery & Dental Implant Center. The authorized official of this NPI record is Dr. Jeremiah Glosenger Dds, Ms (President)
- NPI
- 1649816828
- Provider Legal Name
- DR. JEREMIAH J. GLOSENGER, PC
- Other Organization Name
- NORTH DAKOTA ORAL SURGERY & DENTAL IMPLANT CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2615 ELK DR STE 3 MINOT, ND 58701
- Location Phone
- (701) 852-3421
- Mailing Address
- 2615 ELK DR STE 3 MINOT, ND 58701
- Mailing Phone
- (701) 852-3421
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-21-2019
- Last Update Date
- 12-21-2019
- Code Navigator
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
Clinic/Center Oral and Maxillofacial Surgery
- Taxonomy Code
- 261QS0112X
- Type
- Ambulatory Health Care Facilities
- 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.
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 | 1223S0112X | Dental Providers | Dentist |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Gold $10 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $20 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible - PPO
- BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 35D2176659
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- December 19, 2025
- Certificate Expiration Date
- December 18, 2027
- Laboratory Director
- JEREMIAH J. GLOSENGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to North Dakota Oral Surgery & Dental Implant Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1649816828, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649816828, enumerated as an "organization" on November 21, 2019.
The provider is located at 2615 ELK DR STE 3 MINOT, ND 58701 and the phone number is (701) 852-3421.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota. Please consult your insurance carrier or call the provider to verify.
