DECO DENTAL
NPI 1760690614
Point of Service in Fenton, MO

NPI Status: Active since May 21, 2007

Contact Information

1391 SMIZER MILL RD
FENTON, MO
ZIP 63026
Phone: (636) 349-2400

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  • Organization
  • Point of Service

About DECO DENTAL

This page provides the complete NPI Profile along with additional information for Deco Dental, a provider established in Fenton, Missouri operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1760690614 assigned on May 2007. The practitioner's primary taxonomy code is 305S00000X with license number 1807416-2 (MO). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Adam Decota (Dentist)

NPI
1760690614
Provider Name
DECO DENTAL
Entity Type
Organization
Location Address
1391 SMIZER MILL RD FENTON, MO 63026
Location Phone
(636) 349-2400
Mailing Address
1391 SMIZER MILL RD FENTON, MO 63026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-21-2007
Last Update Date
08-22-2020
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
License No.
1807416-2
License State
MO
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

ADAM DECOTA

Authorized Official Title
DENTIST
Authorized Official Phone
(636) 349-2400

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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.
1760690614
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27120129062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 9 + 0 + 6 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1760690614 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

DR. JERALD A MASLANKO M.D.

Internal Medicine

1391 SMIZER MILL RD
FENTON, MO
ZIP 63026

(636) 343-3787

DR. ADAM DECOTA D.D.S.

Dentist

(General Practice)

1391 SMIZER MILL RD
SUITE 104
FENTON, MO
ZIP 63026

(636) 349-2400

DR. JENNIFER DECOTA D.D.S.

Dentist

(General Practice)

1391 SMIZER MILL RD
SUITE 104
FENTON, MO
ZIP 63026

(636) 349-2400

DAY OPTOMETRY, INC.

Eyewear Supplier

1391 SMIZER MILL RD
SUITE 102
FENTON, MO
ZIP 63026

(636) 305-9600

DR. VITO VRICELLA O.D.

Optometrist

1391 SMIZER MILL RD
SUITE 102
FENTON, MO
ZIP 63026

(636) 305-9600

FENTON FAMILY EYECARE, LLC

Optometrist

1391 SMIZER MILL RD
SUITE 102
FENTON, MO
ZIP 63026

(636) 305-9600

EMILY TIEDEMANN DPT

Physical Therapist

1391 SMIZER MILL RD
FENTON, MO
ZIP 63026

(636) 529-8000

ANGELA DURHAM DPT

Physical Therapist

1391 SMIZER MILL RD
FENTON, MO
ZIP 63026

(636) 305-3000

KRISTIN N REIN DPT

Physical Therapist

1391 SMIZER MILL RD
FENTON, MO
ZIP 63026

(636) 305-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760690614, enumerated as an "organization" on May 21, 2007.

The provider is located at 1391 SMIZER MILL RD FENTON, MO 63026 and the phone number is (636) 349-2400.

Point of Service with taxonomy code 305S00000X.