BLUE WATER DENTAL OF ST. JOHNS
NPI 1821543513
Preferred Provider Organization in Ponte Vedra, FL
NPI Status: Active since August 23, 2016
Contact Information
460 TOWN PLAZA AVE
SUITE 210
PONTE VEDRA, FL
ZIP 32081
Phone: (904) 755-1966
- Organization
- Preferred Provider Organization
About BLUE WATER DENTAL OF ST. JOHNS
This page provides the complete NPI Profile along with additional information for Blue Water Dental Of St. Johns, a provider established in Ponte Vedra, Florida operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1821543513 assigned on August 2016. The practitioner's primary taxonomy code is 305R00000X with license number DN20719 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. David Wallace Sorensen D.m.d. (Dentist/owner)
- NPI
- 1821543513
- Provider Name
- BLUE WATER DENTAL OF ST. JOHNS
- Entity Type
- Organization
- Location Address
- 460 TOWN PLAZA AVE SUITE 210 PONTE VEDRA, FL 32081
- Location Phone
- (904) 755-1966
- Mailing Address
- 334 WILLOW WINDS PKWY SAINT JOHNS, FL 32259
- Mailing Phone
- (904) 755-1966
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-23-2016
- Last Update Date
- 08-23-2016
- 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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- DN20719
- License State
- FL
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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.
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 |
|---|---|---|---|
| 1831508084 | OTHER (01) | FL | INDIVIDUAL NPI |
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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 1821543513, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
PONTE VEDRA, FL 32081
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821543513, enumerated as an "organization" on August 23, 2016.
The provider is located at 460 TOWN PLAZA AVE SUITE 210 PONTE VEDRA, FL 32081 and the phone number is (904) 755-1966.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
