PAUL D. DIBLEY, D.D.S., S.C.
NPI 1720078512
Dentist - General Practice in Shawano, WI

NPI Status: Active since October 24, 2005

Contact Information

920 E 5TH ST
SHAWANO, WI
ZIP 54166
Phone: (715) 526-3315

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  • Organization
  • Dentist
  • General Practice

About PAUL D. DIBLEY, D.D.S., S.C.

This page provides the complete NPI Profile along with additional information for Paul D. Dibley, D.d.s., S.c., a provider established in Shawano, Wisconsin operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1720078512 assigned on October 2005. The practitioner's primary taxonomy code is 1223G0001X with license number 5001351015 (WI). 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 Dr. Paul D. Dibley D.d.s. (President)

NPI
1720078512
Provider Name
PAUL D. DIBLEY, D.D.S., S.C.
Entity Type
Organization
Location Address
920 E 5TH ST SHAWANO, WI 54166
Location Phone
(715) 526-3315
Mailing Address
920 E 5TH ST SHAWANO, WI 54166
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2005
Last Update Date
08-22-2020
Code Navigator

A dentist like Paul D. Dibley, D.d.s., S.c. 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.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
5001351015
License State
WI
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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:

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

DR. PAUL D. DIBLEY D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(715) 526-3315

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
33617100MEDICAID (05)WI 

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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.
1720078512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740071652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 7 + 1 + 6 + 5 + 2 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1720078512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

DR. MARK E. HEIDEMAN D.D.S.

Dentist

920 E 5TH ST
SHAWANO, WI
ZIP 54166

(715) 524-2581

BAYCARE CLINIC LLP

Dentist

(Oral and Maxillofacial Surgery)

920 E 5TH ST
SHAWANO, WI
ZIP 54166

(715) 524-2001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720078512, enumerated in the NPI registry as an "organization" on October 24, 2005

The provider is located at 920 E 5th St Shawano, Wi 54166 and the phone number is (715) 526-3315

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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