FRED WESBERRY DENTISTRY, PLLC
NPI 1770849143
Clinic/Center - Ambulatory Surgical in Memphis, TN

NPI Status: Active since April 10, 2012

Contact Information

716 W BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117
Phone: (901) 844-1590
Fax: (901) 844-1592

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About FRED WESBERRY DENTISTRY, PLLC

This page provides the complete NPI Profile along with additional information for Fred Wesberry Dentistry, Pllc, a provider established in Memphis, Tennessee operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1770849143 assigned on April 2012. The practitioner's primary taxonomy code is 261QA1903X with license number 000000051 (TN). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is David M Kimler Dds (Owner)

NPI
1770849143
Provider Name
FRED WESBERRY DENTISTRY, PLLC
Entity Type
Organization
Location Address
716 W BROOKHAVEN CIR MEMPHIS, TN 38117
Location Phone
(901) 844-1590
Location Fax
(901) 844-1592
Mailing Address
2900 S PERKINS RD MEMPHIS, TN 38118
Mailing Phone
(901) 362-9995
Mailing Fax
(901) 844-1592
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2012
Last Update Date
04-10-2012
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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 Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
000000051
License State
TN

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

DAVID M KIMLER DDS

Authorized Official Title
OWNER
Authorized Official Phone
(901) 362-9995

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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.
1770849143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401641818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 4 + 1 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1770849143 is valid because the calculated check digit 3 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. CYNDI JORDAN LPC, SLPE-HSP

Counselor

(Professional)

716 W BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117

(901) 531-7200

LIFELINC ANESTHESIA III, LLC

Nurse Anesthetist, Certified Registered

716 W BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117

(901) 844-1590

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770849143, enumerated as an "organization" on April 10, 2012.

The provider is located at 716 W BROOKHAVEN CIR MEMPHIS, TN 38117 and the phone number is (901) 844-1590.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.