NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
NPI 1699901140
Clinic/Center - Oral and Maxillofacial Surgery in St Louis Park, MN
NPI Status: Active since June 10, 2009
Contact Information
5100 GAMBLE DR
SUITE 125
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 465-0105
Fax: (952) 465-0106
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 24D2033286
- CLIA Cert. Type: Other - ORAL SURGERY OFFICE
- CLIA Exp. Date: 11-28-2025
About NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
This page provides the complete NPI Profile along with additional information for Northern Star Oral And Maxillofacial Surgery Pllc, a provider established in St Louis Park, Minnesota operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1699901140 assigned on June 2009. The practitioner's primary taxonomy code is 261QS0112X with license number D11399 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Dr. Julie A Chavez Dds (Owner)
- NPI
- 1699901140
- Provider Name
- NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
- Entity Type
- Organization
- Location Address
- 5100 GAMBLE DR SUITE 125 ST LOUIS PARK, MN 55416
- Location Phone
- (952) 465-0105
- Location Fax
- (952) 465-0106
- Mailing Address
- 5100 GAMBLE DR SUITE 125 ST LOUIS PARK, MN 55416
- Mailing Phone
- (952) 465-0105
- Mailing Fax
- (952) 465-0106
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-10-2009
- Last Update Date
- 06-23-2014
- 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
- License No.
- D11399
- License State
- MN
- 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:
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
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.
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.
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 |
|---|---|---|---|
| DQ4459 | OTHER (01) | MN | MEDICARE RAILROAD PTAN |
| 187847 | OTHER (01) | MN | U CARE |
| 3AI37NO | OTHER (01) | MN | BLUE CROSS BLUE SHIELD |
| CO5268 | OTHER (01) | MN | MEDICARE PTAN |
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
- 24D2033286
- Facility Type
- Other - ORAL SURGERY OFFICE
- Certificate Effective Date
- November 29, 2023
- Certificate Expiration Date
- November 28, 2025
- Laboratory Director
- JULIE A. CHAVEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Northern Star Oral And Maxillofacial Surgery Pllc 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.
Reviews for NORTHERN STAR ORAL AND MAXILLOFACIAL SURGERY PLLC
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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 1699901140, 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 15 providers are registered at the same or a nearby location.
ST LOUIS PARK, MN 55416
ST. LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
SAINT LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST. LOUIS PARK, MN 55416
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699901140, enumerated as an "organization" on June 10, 2009.
The provider is located at 5100 GAMBLE DR SUITE 125 ST LOUIS PARK, MN 55416 and the phone number is (952) 465-0105.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: UnitedHealthcare, Railroad Medicare, Medicare,. Please consult your insurance carrier or call the provider to verify.
