SOUTH ANCHORAGE DENTAL CENTER
NPI 1841580966
Preferred Provider Organization in Anchorage, AK

NPI Status: Active since April 11, 2011

Contact Information

9170 JEWEL LAKE RD STE 201
ANCHORAGE, AK
ZIP 99502
Phone: (907) 248-7275
Fax: (907) 248-7221

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  • Organization
  • Preferred Provider Organization
  • Accepts Insurance

About SOUTH ANCHORAGE DENTAL CENTER

This page provides the complete NPI Profile along with additional information for South Anchorage Dental Center, a provider established in Anchorage, Alaska operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1841580966 assigned on April 2011. The practitioner's primary taxonomy code is 305R00000X with license number 1308 (AK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Broc Wayne Brimhall Dmd (Dentist)

NPI
1841580966
Provider Name
SOUTH ANCHORAGE DENTAL CENTER
Entity Type
Organization
Location Address
9170 JEWEL LAKE RD STE 201 ANCHORAGE, AK 99502
Location Phone
(907) 248-7275
Location Fax
(907) 248-7221
Mailing Address
9170 JEWEL LAKE RD STE 201 ANCHORAGE, AK 99502
Mailing Phone
(907) 248-7275
Mailing Fax
(907) 248-7221
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2011
Last Update Date
04-11-2011
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
1308
License State
AK
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:

  • Delta Dental PPO 1000 Plan - PPO
  • Delta Dental PPO 1500 Plan - PPO
  • Delta Dental Premier Healthy Smiles - Indemnity
  • Delta Dental Premier Plan - Indemnity
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

BROC WAYNE BRIMHALL DMD

Authorized Official Title
DENTIST
Authorized Official Phone
(907) 248-7275

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
DD0040MEDICAID (05)AK 

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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 1841580966, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

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
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
6
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 4 → 8 5 → 10 → 1 0 → 0 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 8 + 1 + 1 + 0 + 8 + 0 + 9 + 1 + 2 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1841580966.

Other Providers at the Same Location


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

Dentist (General Practice)
9170 JEWEL LAKE RD STE 201
ANCHORAGE, AK 99502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841580966, enumerated as an "organization" on April 11, 2011.

The provider is located at 9170 JEWEL LAKE RD STE 201 ANCHORAGE, AK 99502 and the phone number is (907) 248-7275.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Delta Dental of Alaska, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.