DEREK T BENNETSEN DO
NPI 1720011232
Emergency Medicine in Dallas, TX

NPI Status: Active since July 08, 2006

Contact Information

12221 MERIT DR
SUITE 1610
DALLAS, TX
ZIP 75251
Phone: (214) 217-1911

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance

About DEREK BENNETSEN

This page provides the complete NPI Profile along with additional information for Derek Bennetsen, a provider established in Dallas, Texas with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1720011232 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number M2257 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1720011232
Provider Name
DEREK T BENNETSEN DO
Gender
Male
Entity Type
Individual
Location Address
12221 MERIT DR SUITE 1610 DALLAS, TX 75251
Location Phone
(214) 217-1911
Mailing Address
12221 MERIT DR SUITE 1610 DALLAS, TX 75251
Is Sole Proprietor?
No
Enumeration Date
07-08-2006
Last Update Date
11-20-2008
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
M2257
License State
TX
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

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

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

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
8G6685MEDICARE PIN (08)TX 
P00388057OTHER (01)TXRAILROAD
8W1788OTHER (01)TXBCBS
I59913MEDICARE UPIN (02)TX 
90058763MEDICAID (05)NM 
181816301MEDICAID (05)TX 
8L1132MEDICARE PIN (08)TX 
8W0731OTHER (01)TXBCBS
181816304MEDICAID (05)TX 
8L0595MEDICARE PIN (08)TX 
8AL417OTHER (01)TXBCBS
181816302MEDICAID (05)TX 

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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 1720011232, we treat the final digit (2) 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 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

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
7
Unchanged
Pos 3
2
Doubled → 4
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
2
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 2 → 4 0 → 0 1 → 2 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 4 + 0 + 0 + 1 + 2 + 2 + 6 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1720011232.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
12221 MERIT DR, STE 460
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physician Assistant (Medical)
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Psychiatry & Neurology (Neurology)
12221 MERIT DR, SUITE #350
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physical Medicine & Rehabilitation
12221 MERIT DR, SUITE 460
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 460
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Pediatrics
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Plastic Surgery
12221 MERIT DR
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 460
DALLAS, TX 75251
Otolaryngology (Facial Plastic Surgery)
12221 MERIT DR, SUITE 1060
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Registered Nurse
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physician Assistant
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720011232, enumerated as an "individual" on July 08, 2006.

The provider is located at 12221 MERIT DR SUITE 1610 DALLAS, TX 75251 and the phone number is (214) 217-1911.

Emergency Medicine with taxonomy code 207P00000X.

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