PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER
NPI 1851779623
Dentist - Pediatric Dentistry in Bossier City, LA
NPI Status: Active since May 13, 2015
Contact Information
2285 BENTON RD
SUITE C-100
BOSSIER CITY, LA
ZIP 71111
Phone: (318) 742-9333
Fax: (318) 742-1512
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
About PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER
This page provides the complete NPI Profile along with additional information for Pediatric Dentistry Of Shreveport-bossier, a provider established in Bossier City, Louisiana operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1851779623 assigned on May 2015. The practitioner's primary taxonomy code is 1223P0221X with license number 6422 (LA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Pediatric Dentistry Of Shreveport-bossier. The authorized official of this NPI record is Carol A Lloyd (Office Manager)
- NPI
- 1851779623
- Provider Legal Name
- DR. MICHAEL GAMBILL AND DR. DAVID GLASS LLC
- Other Organization Name
- PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2285 BENTON RD SUITE C-100 BOSSIER CITY, LA 71111
- Location Phone
- (318) 742-9333
- Location Fax
- (318) 742-1512
- Mailing Address
- 2285 BENTON RD SUITE C-100 BOSSIER CITY, LA 71111
- Mailing Phone
- (318) 742-9333
- Mailing Fax
- (318) 742-1512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2015
- Last Update Date
- 05-13-2015
- Code Navigator
A dentist like Pediatric Dentistry Of Shreveport-bossier is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
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
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 6422
- License State
- LA
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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) |
|---|---|---|---|---|
| 1 | 1223P0221X | Dental Providers | Dentist | 2217 (LA) |
| 2 | 1223P0221X | Dental Providers | Dentist | 6485 (LA) |
| 3 | 1223P0221X | Dental Providers | Dentist | 6224 (LA) |
| 4 | 1223P0221X | Dental Providers | Dentist | 6532 (LA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue Dental Essential Certified- $1,000 Annual Benefit Maximum per Adult, 100%/50%/50% coinsurance, $75 deductible - PPO
- Blue Dental Preferred Certified- $1,000 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible - PPO
- Blue Dental Value Certified- $500 Annual Benefit Maximum per Adult, 100%/60%/50% coinsurance, $0 deductible - PPO
- Blue Dental Preferred Plus Certified- $1,500 Annual Benefit Maximum per Adult, 100%/80%/50% coinsurance, $50 deductible - PPO
- DentaQuest PPO Pediatric High - PPO
- DentaQuest PPO Family High - PPO
- DentaQuest PPO Family Low - PPO
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N) - POS
- Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S) - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible - POS
- Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (L) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (N) - POS
- Blue Connect Copay (PCP) 60/40 $6000 Standardized (S) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (H) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (L) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (N) - POS
- Blue Connect Copay (PCP) 75/55 $2000 Standardized (S) - POS
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
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 |
|---|---|---|---|
| 1864226 | MEDICAID (05) | LA | |
| 1864854 | MEDICAID (05) | LA | |
| 1822175 | MEDICAID (05) | LA |
Reviews for PEDIATRIC DENTISTRY OF SHREVEPORT-BOSSIER
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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 1851779623, 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 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 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
BOSSIER CITY, LA 71111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851779623, enumerated as an "organization" on May 13, 2015.
The provider is located at 2285 BENTON RD SUITE C-100 BOSSIER CITY, LA 71111 and the phone number is (318) 742-9333.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana,. Please consult your insurance carrier or call the provider to verify.
