SEATTLE JAW SURGERY
NPI 1841833431
Clinic/Center - Dental in Seattle, WA

NPI Status: Active since October 25, 2019

Contact Information

600 BROADWAY STE 460
SEATTLE, WA
ZIP 98122
Phone: (206) 320-2078

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance
  • CLIA Number: 50D2301633
  • CLIA Cert. Type: Other - AFH
  • CLIA Exp. Date: 04-04-2028

About SEATTLE JAW SURGERY

This page provides the complete NPI Profile along with additional information for Seattle Jaw Surgery, a provider established in Seattle, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1841833431 assigned on October 2019. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Seattle Jaw Surgery operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Seattle Jaw Surgery. The authorized official of this NPI record is Samuel Bobek Dmd, Md (Owner)

NPI
1841833431
Provider Legal Name
SAMUEL BOBEK PLLC
Other Organization Name
SEATTLE JAW SURGERY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
600 BROADWAY STE 460 SEATTLE, WA 98122
Location Phone
(206) 320-2078
Mailing Address
600 BROADWAY STE 460 SEATTLE, WA 98122
Mailing Phone
(206) 320-2078
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2019
Last Update Date
10-28-2019
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223S0112XDental Providers

Dentist
Oral and Maxillofacial Surgery

 
2363AS0400XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Surgical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • 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
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

*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

SAMUEL BOBEK DMD, MD

Authorized Official Title
OWNER
Authorized Official Phone
(503) 475-4735

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
50D2301633
Facility Type
Other - AFH
Certificate Effective Date
March 28, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
SAMUEL BOBECK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Seattle Jaw Surgery 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 1841833431, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
3
Doubled → 6
Check
1
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 8 → 16 → 7 3 → 6 3 → 6

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 + 6 + 3 + 6 + 4 + 6 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1841833431.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
600 BROADWAY STE 460
SEATTLE, WA 98122
Anesthesiology
600 BROADWAY STE 460, ORTHOPEDICS INTERNATIONAL AMBULATORY SURGERY CENTER
SEATTLE, WA 98122
Oral & Maxillofacial Surgery
600 BROADWAY STE 460
SEATTLE, WA 98122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841833431, enumerated as an "organization" on October 25, 2019.

The provider is located at 600 BROADWAY STE 460 SEATTLE, WA 98122 and the phone number is (206) 320-2078.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.