TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
NPI 1902398639
Dentist - Oral and Maxillofacial Surgery in Tallahassee, FL
NPI Status: Active since May 30, 2018
Contact Information
3665 COOLIDGE CT STE 102
TALLAHASSEE, FL
ZIP 32311
Phone: (850) 431-6725
Fax: (850) 431-6859
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 10D2148891
- CLIA Cert. Type: Other - ORAL SURGERY OFFICE
- CLIA Exp. Date: 05-20-2028
About TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
This page provides the complete NPI Profile along with additional information for Tallahassee Oral And Maxillofacial Surgery, Pllc, a provider established in Tallahassee, Florida operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1902398639 assigned on May 2018. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is Ricardo Ortiz Dmd, Md (Oral And Maxillofacial Surgeon)
- NPI
- 1902398639
- Provider Name
- TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
- Entity Type
- Organization
- Location Address
- 3665 COOLIDGE CT STE 102 TALLAHASSEE, FL 32311
- Location Phone
- (850) 431-6725
- Location Fax
- (850) 431-6859
- Mailing Address
- 3665 COOLIDGE CT STE 102 TALLAHASSEE, FL 32311
- Mailing Phone
- (850) 431-6725
- Mailing Fax
- (850) 431-6859
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2018
- Last Update Date
- 06-04-2021
- Code Navigator
A dentist like Tallahassee Oral And Maxillofacial Surgery, Pllc 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 Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- Taxonomy Description
- An oral and maxillofacial surgery dentist 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.
Group Taxonomy 193400000X 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:
- DentaQuest EPO Family High - EPO
- DentaQuest EPO Family Low - EPO
- DentaQuest EPO Pediatric High - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D2148891
- Facility Type
- Other - ORAL SURGERY OFFICE
- Certificate Effective Date
- May 21, 2026
- Certificate Expiration Date
- May 20, 2028
- Laboratory Director
- RICARDO M. ORTIZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Tallahassee Oral And Maxillofacial Surgery, Pllc 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 1902398639, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
TALLAHASSEE, FL 32311
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902398639, enumerated as an "organization" on May 30, 2018.
The provider is located at 3665 COOLIDGE CT STE 102 TALLAHASSEE, FL 32311 and the phone number is (850) 431-6725.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: DentaQuest Insurance Company, Inc.. Please consult your insurance carrier or call the provider to verify.
