KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC
NPI 1891298337
Clinic/Center - Oral and Maxillofacial Surgery in Oak Ridge, TN

NPI Status: Active since March 12, 2018

Contact Information

4533 PAPERMILL ROAD
OAK RIDGE, TN
ZIP 37830
Phone: (865) 410-3075
Fax: (865) 674-5122

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  • Organization
  • Clinic/Center
  • Oral and Maxillofacial Surgery
  • CLIA Number: 44D2217519
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-21-2027

About KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC

This page provides the complete NPI Profile along with additional information for Knoxville Center For Oral & Maxillofacial Surgery, Pc, a provider established in Oak Ridge, Tennessee operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1891298337 assigned on March 2018. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Nicole Eisenberg (Owner)

NPI
1891298337
Provider Name
KNOXVILLE CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC
Entity Type
Organization
Location Address
4533 PAPERMILL ROAD OAK RIDGE, TN 37830
Location Phone
(865) 410-3075
Location Fax
(865) 674-5122
Mailing Address
4533 PAPERMILL ROAD OAK RIDGE, TN 37830
Mailing Phone
(865) 410-3075
Mailing Fax
(865) 674-5122
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-12-2018
Last Update Date
10-24-2018
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Location Map

Secondary Locations

  • 420 Laboratory Rd
    Oak Ridge, TN 37830
    (865) 410-3075

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 Oral and Maxillofacial Surgery

Taxonomy Code
261QS0112X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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

NICOLE EISENBERG

Authorized Official Title
OWNER
Authorized Official Phone
(865) 410-3075

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
44D2217519
Facility Type
Physician Office
Certificate Effective Date
March 22, 2025
Certificate Expiration Date
March 21, 2027
Laboratory Director
DR. SEAN M. DELAIR
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Knoxville Center For Oral & Maxillofacial Surgery, Pc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1891298337, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

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
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 9 → 18 → 9 2 → 4 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 8 + 1 + 4 + 9 + 1 + 6 + 3 + 6 + 24 = 73

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

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1891298337.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891298337, enumerated as an "organization" on March 12, 2018.

The provider is located at 4533 PAPERMILL ROAD OAK RIDGE, TN 37830 and the phone number is (865) 410-3075.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.