ROCK RIVER ORAL SURGERY & DENTAL IMPLANT CENTER LLC
NPI 1811379142
Clinic/Center - Oral and Maxillofacial Surgery in Rockford, IL
NPI Status: Active since June 23, 2015
Contact Information
973 FEATHERSTONE RD
SUITE 102
ROCKFORD, IL
ZIP 61107
Phone: (815) 399-1234
Fax: (815) 399-2423
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
- CLIA Number: 14D2257340
- CLIA Cert. Type: Blood Bank
- CLIA Exp. Date: 04-03-2026
About ROCK RIVER ORAL SURGERY & DENTAL IMPLANT CENTER LLC
This page provides the complete NPI Profile along with additional information for Rock River Oral Surgery & Dental Implant Center Llc, a provider established in Rockford, Illinois operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1811379142 assigned on June 2015. The practitioner's primary taxonomy code is 261QS0112X with license number 019030148 (WI). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Shea Mccue Dds (Oral Surgeon/owner)
- NPI
- 1811379142
- Provider Name
- ROCK RIVER ORAL SURGERY & DENTAL IMPLANT CENTER LLC
- Entity Type
- Organization
- Location Address
- 973 FEATHERSTONE RD SUITE 102 ROCKFORD, IL 61107
- Location Phone
- (815) 399-1234
- Location Fax
- (815) 399-2423
- Mailing Address
- 973 FEATHERSTONE RD SUITE 102 ROCKFORD, IL 61107
- Mailing Phone
- (815) 399-1234
- Mailing Fax
- (815) 399-2423
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2015
- Last Update Date
- 06-23-2015
- Code Navigator
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
Clinic/Center Oral and Maxillofacial Surgery
- Taxonomy Code
- 261QS0112X
- Type
- Ambulatory Health Care Facilities
- License No.
- 019030148
- License State
- WI
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2257340
- Facility Type
- Blood Bank
- Certificate Effective Date
- April 04, 2024
- Certificate Expiration Date
- April 03, 2026
- Laboratory Director
- NANCY A. SKRADE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Rock River Oral Surgery & Dental Implant Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1811379142, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811379142, enumerated as an "organization" on June 23, 2015.
The provider is located at 973 FEATHERSTONE RD SUITE 102 ROCKFORD, IL 61107 and the phone number is (815) 399-1234.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
