DR. RISA MAREE RECORD D.D.S.
NPI 1881667053
Dentist - General Practice in Camp Carroll, APO AP
NPI Status: Active since February 08, 2006
Contact Information
618 DENTAL COMPANY (AS)
UNIT #15662 BLDG. S137 TEXAS AVENUE
CAMP CARROLL, APO AP
ZIP 96260
Phone: (352) 765-7185
Fax: (352) 765-7188
- Individual
- Female
- Dentist
- General Practice
- PECOS Enrolled
- Opted-Out Medicare
About RISA RECORD
This page provides the complete NPI Profile along with additional information for Risa Record, a provider established in Camp Carroll, with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1881667053 assigned on February 2006. The practitioner's primary taxonomy code is 1223G0001X with license number BR9294353 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1881667053
- Provider Name
- DR. RISA MAREE RECORD D.D.S.
- Other Name
- DR. RISA MAREE POORTVLIET D.D.S.
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 618 DENTAL COMPANY (AS) UNIT #15662 BLDG. S137 TEXAS AVENUE CAMP CARROLL, APO AP 96260
- Location Phone
- (352) 765-7185
- Location Fax
- (352) 765-7188
- Mailing Address
- 162 COUNTY ROAD 294 GAINESVILLE, TX 76240
- Mailing Phone
- (940) 612-2916
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-08-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A dentist like Risa Record 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.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Risa Record opted out of Medicare effective on 12-31-2015 until 12-31-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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 General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- BR9294353
- License State
- TX
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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 |
|---|---|---|---|
| 196626 | OTHER (01) | TX | AGD/TAGD NUMBER |
Medicare Participation & PECOS Enrollment Status
Risa Record is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-31-2015
Opt-Out End Date: 12-31-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
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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 1881667053, 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881667053, enumerated as an "individual" on February 08, 2006.
The provider is located at 618 DENTAL COMPANY (AS) UNIT #15662 BLDG. S137 TEXAS AVENUE CAMP CARROLL, APO AP 96260 and the phone number is (352) 765-7185.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
