NORTHEAST MISSOURI DENTAL CLINIC
NPI 1972649986
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO

NPI Status: Active since January 29, 2007

Contact Information

402 W JEFFERSON ST
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 665-2741
Fax: (660) 665-3109

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About NORTHEAST MISSOURI DENTAL CLINIC

This page provides the complete NPI Profile along with additional information for Northeast Missouri Dental Clinic, a primary care provider established in Kirksville, Missouri operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1972649986 assigned on January 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Northeast Missouri Dental Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Northeast Missouri Dental Clinic. The authorized official of this NPI record is Andrew H. Grimm (Executive Director)

NPI
1972649986
Provider Legal Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Other Organization Name
NORTHEAST MISSOURI DENTAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
402 W JEFFERSON ST KIRKSVILLE, MO 63501
Location Phone
(660) 665-2741
Location Fax
(660) 665-3109
Mailing Address
1416 CROWN DR P O BOX 1027 KIRKSVILLE, MO 63501
Mailing Phone
(660) 627-5757
Mailing Fax
(660) 665-3109
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-29-2007
Last Update Date
10-12-2012
Code Navigator

A primary care provider (PCP) like Northeast Missouri Dental Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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 Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
MO

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)
11223D0001XDental Providers

Dentist
Dental Public Health

2001012903 (MO)
21223D0001XDental Providers

Dentist
Dental Public Health

2006007559 (MO)
3124Q00000XDental Providers

Dental Hygienist

003847 (MO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

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.

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

ANDREW H. GRIMM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(660) 627-5757

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
507477404MEDICAID (05)MO 

Reviews for NORTHEAST MISSOURI DENTAL CLINIC

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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 1972649986, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
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 7 → 14 → 5 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 4 + 1 + 8 + 9 + 1 + 6 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1972649986.

Other Providers at the Same Location


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

Dentist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist (Dental Public Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Pediatrics
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Clinic/Center (Federally Qualified Health Center (FQHC))
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Psychologist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Pediatrics
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist (Dental Public Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Nurse Practitioner (Pediatrics)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dentist (Dental Public Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Nurse Practitioner (Women's Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Pediatrics
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Advanced Practice Midwife
402 W JEFFERSON ST
KIRKSVILLE, MO 63501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972649986, enumerated as an "organization" on January 29, 2007.

The provider is located at 402 W JEFFERSON ST KIRKSVILLE, MO 63501 and the phone number is (660) 665-2741.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.