WIREGRASS ORTHODONTIC SPECIALISTS
NPI 1922500198
Clinic/Center - Dental in Dothan, AL

NPI Status: Active since March 05, 2018

Contact Information

100 OBRANNON PARK AVE
DOTHAN, AL
ZIP 36303
Phone: (334) 792-1000

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  • Organization
  • Clinic/Center
  • Dental
  • CLIA Number: 01D0304775
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-01-2027

About WIREGRASS ORTHODONTIC SPECIALISTS

This page provides the complete NPI Profile along with additional information for Wiregrass Orthodontic Specialists, a provider established in Dothan, Alabama operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1922500198 assigned on March 2018. The practitioner's primary taxonomy code is 261QD0000X with license number 5050 (AL). 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 Heidi Mcclintock (Insurance)

NPI
1922500198
Provider Name
WIREGRASS ORTHODONTIC SPECIALISTS
Entity Type
Organization
Location Address
100 OBRANNON PARK AVE DOTHAN, AL 36303
Location Phone
(334) 792-1000
Mailing Address
100 OBRANNON PARK AVE DOTHAN, AL 36303
Mailing Phone
(334) 792-1000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2018
Last Update Date
03-05-2018
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
5050
License State
AL

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

HEIDI MCCLINTOCK

Authorized Official Title
INSURANCE
Authorized Official Phone
(334) 792-1000

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
01D0304775
Facility Type
Physician Office
Certificate Effective Date
January 02, 2025
Certificate Expiration Date
January 01, 2027
Laboratory Director
RUSSELL L. BEDSOLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wiregrass Orthodontic Specialists 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 1922500198, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
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 2 → 4 5 → 10 → 1 0 → 0 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 1 + 0 + 0 + 0 + 1 + 1 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1922500198.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922500198, enumerated as an "organization" on March 05, 2018.

The provider is located at 100 OBRANNON PARK AVE DOTHAN, AL 36303 and the phone number is (334) 792-1000.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.