PLATEAU ORAL SURGERY, PC
NPI 1730407560
Clinic/Center - Oral and Maxillofacial Surgery in Cookeville, TN

NPI Status: Active since May 04, 2010

Contact Information

920 S WILLOW AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 525-6059
Fax: (931) 525-6079

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery

About PLATEAU ORAL SURGERY, PC

This page provides the complete NPI Profile along with additional information for Plateau Oral Surgery, Pc, a provider established in Cookeville, Tennessee operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1730407560 assigned on May 2010. The practitioner's primary taxonomy code is 261QS0112X with license number D57545 (TN). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mrs. Nancy J Kelly (Insurance Coordinator)

NPI
1730407560
Provider Name
PLATEAU ORAL SURGERY, PC
Entity Type
Organization
Location Address
920 S WILLOW AVE COOKEVILLE, TN 38501
Location Phone
(931) 525-6059
Location Fax
(931) 525-6079
Mailing Address
920 SOUTH WILLOW AVENUE COOKEVILLE, TN 38501
Mailing Phone
(931) 525-6059
Mailing Fax
(931) 525-6079
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2010
Last Update Date
06-20-2018
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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.
D57545
License State
TN
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.

*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. NANCY J KELLY

Authorized Official Title
INSURANCE COORDINATOR
Authorized Official Phone
(931) 525-6059

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
=========OTHER (01)TNTAX ID
3226373MEDICAID (05)TN 

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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 1730407560, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 4 → 8 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 8 + 0 + 1 + 4 + 5 + 1 + 2 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1730407560.

Other Providers at the Same Location


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

Dentist (Oral and Maxillofacial Surgery)
920 S WILLOW AVE
COOKEVILLE, TN 38501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730407560, enumerated as an "organization" on May 04, 2010.

The provider is located at 920 S WILLOW AVE COOKEVILLE, TN 38501 and the phone number is (931) 525-6059.

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

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