SEYED HESHMAT MORTAZAVI DMD
NPI 1902833973
Dentist in Gallup, NM

NPI Status: Active since June 27, 2006

Contact Information

516 E. NIZHONI BLVD
GALLUP, NM
ZIP 87301
Phone: (505) 722-1000
Fax: (505) 722-1565

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  • Individual
  • Male
  • Dentist
  • PECOS Enrolled

About SEYED MORTAZAVI

This page provides the complete NPI Profile along with additional information for Seyed Mortazavi, a provider established in Gallup, New Mexico with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1902833973 assigned on June 2006. The practitioner's primary taxonomy code is 122300000X with license number DD2342 (NM). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1902833973
Provider Name
SEYED HESHMAT MORTAZAVI DMD
Gender
Male
Entity Type
Individual
Location Address
516 E. NIZHONI BLVD GALLUP, NM 87301
Location Phone
(505) 722-1000
Location Fax
(505) 722-1565
Mailing Address
PO BOX 1337 GALLUP, NM 87305
Mailing Phone
(505) 722-1000
Mailing Fax
(505) 722-1565
Is Sole Proprietor?
No
Enumeration Date
06-27-2006
Last Update Date
04-11-2008
Code Navigator

A dentist like Seyed Mortazavi 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

Taxonomy Code
122300000X
Type
Dental Providers
License No.
DD2342
License State
NM
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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)
1122300000XDental Providers

Dentist

DE00007118 (WA)

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
586084MEDICAID (05)AZ 
000A9888MEDICAID (05)NM 

Medicare Participation & PECOS Enrollment Status

Seyed Mortazavi 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

  • 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

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 87301 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.79
  • Minimum New Patient Price $54.26
  • Maximum New Patient Price $166.8
  • Average New Patient Copayment $21.19
  • Minimum New Patient Copayment $13.56
  • Maximum New Patient Copayment $41.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68
  • Minimum Established Patient Price $17
  • Maximum Established Patient Price $135.35
  • Average Established Patient Copayment $17
  • Minimum Established Patient Copayment $4.25
  • Maximum Established Patient Copayment $33.83

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1902833973, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 0 → 0 8 → 16 → 7 3 → 6 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 1 + 6 + 3 + 6 + 9 + 1 + 4 + 24 = 67

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.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1902833973.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
516 E. NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER
GALLUP, NM 87301
Radiology (Diagnostic Radiology)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Family Medicine
516 E. NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER
GALLUP, NM 87301
Anesthesiology
516 E. NIZHONI BLVD
GALLUP, NM 87301
Family Medicine
516 E. NIZHONI BLVD
GALLUP, NM 87301
Dentist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Dentist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Dentist
516 E. NIZHONI BLVD
GALLUP, NM 87301
Internal Medicine
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Registered Nurse
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Nurse Practitioner
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Pediatrics
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Internal Medicine
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Optometrist
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Obstetrics & Gynecology
516 E. NIZHONI BLVD, BOX 1337
GALLUP, NM 87301
Pharmacist
516 E. NIZHONI BLVD
GALLUP, NM 87301
Pharmacist
516 E. NIZHONI BLVD, GALLUP INDIAN MEDICAL CENTER (GIMC)
GALLUP, NM 87301
Neurological Surgery
516 E. NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse (Ambulatory Care)
516 E. NIZHONI BLVD
GALLUP, NM 87301
Registered Nurse
516 E. NIZHONI BLVD
GALLUP, NM 87301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902833973, enumerated as an "individual" on June 27, 2006.

The provider is located at 516 E. NIZHONI BLVD GALLUP, NM 87301 and the phone number is (505) 722-1000.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.