THIRD COAST ORAL & MAXILLOFACIAL SURGERY
NPI 1902551351
Clinic/Center - Oral and Maxillofacial Surgery in Byron Center, MI
NPI Status: Active since February 15, 2022
Contact Information
2119 64TH ST SW
BYRON CENTER, MI
ZIP 49315
Phone: (616) 217-3632
Fax: (616) 217-3634
- Organization
- Clinic/Center
- Oral and Maxillofacial Surgery
- Accepts Insurance
- CLIA Number: 23D2307802
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 07-15-2026
About THIRD COAST ORAL & MAXILLOFACIAL SURGERY
This page provides the complete NPI Profile along with additional information for Third Coast Oral & Maxillofacial Surgery, a provider established in Byron Center, Michigan operating as a Clinic/center, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1902551351 assigned on February 2022. The practitioner's primary taxonomy code is 261QS0112X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Annika Schott (Financial Coordinator)
- NPI
- 1902551351
- Provider Name
- THIRD COAST ORAL & MAXILLOFACIAL SURGERY
- Entity Type
- Organization
- Location Address
- 2119 64TH ST SW BYRON CENTER, MI 49315
- Location Phone
- (616) 217-3632
- Location Fax
- (616) 217-3634
- Mailing Address
- 2119 64TH ST SW BYRON CENTER, MI 49315
- Mailing Phone
- (616) 217-3632
- Mailing Fax
- (616) 217-3634
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2022
- Last Update Date
- 02-15-2022
- Code Navigator
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 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Dental EPO 80/50/50 (0/0/0) - EPO
- Blue Dental PPO 100/50/50 (50/50/50) - PPO
- Blue Dental PPO 100/70/50 (80/60/50) - PPO
- Blue Dental PPO 80/50/50 (50/50/50) - PPO
- Blue Dental PPO Pediatric 80/50/50 (50/50/50) - PPO
- Blue Dental PPO Plus 80/60/50 - PPO
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 |
|---|---|---|---|
| 1811378508 | OTHER (01) | MI | NPPES |
| 1811378508 | OTHER (01) | MI | NPI |
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
- 23D2307802
- Facility Type
- Independent
- Certificate Effective Date
- July 16, 2024
- Certificate Expiration Date
- July 15, 2026
- Laboratory Director
- CHRISTOPHER C. NIQUETTE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Third Coast Oral & Maxillofacial 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 1902551351, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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.
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 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
BYRON CENTER, MI 49315
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902551351, enumerated as an "organization" on February 15, 2022.
The provider is located at 2119 64TH ST SW BYRON CENTER, MI 49315 and the phone number is (616) 217-3632.
Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Blue Cross Blue Shield of Michigan Mutual. Please consult your insurance carrier or call the provider to verify.
