DR. ALLEN B. COX JR. D.D.S.
NPI 1982808119
Dentist - General Practice in Gualala, CA

NPI Status: Active since June 12, 2007

Contact Information

38460 S. HIGHWAY ONE
GUALALA, CA
ZIP 95445
Phone: (707) 884-3738
Fax: (707) 884-4946

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  • Individual
  • Male
  • Dentist
  • General Practice
  • PECOS Enrolled

About ALLEN COX

This page provides the complete NPI Profile along with additional information for Allen Cox, a provider established in Gualala, California with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1982808119 assigned on June 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 29926 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1982808119
Provider Name
DR. ALLEN B. COX JR. D.D.S.
Gender
Male
Entity Type
Individual
Location Address
38460 S. HIGHWAY ONE GUALALA, CA 95445
Location Phone
(707) 884-3738
Location Fax
(707) 884-4946
Mailing Address
PO BOX 1199 GUALALA, CA 95445
Mailing Phone
(707) 884-3738
Mailing Fax
(707) 884-4946
Is Sole Proprietor?
Yes
Enumeration Date
06-12-2007
Last Update Date
07-08-2007
Code Navigator

A dentist like Allen Cox 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
29926
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Medicare Participation & PECOS Enrollment Status

Allen Cox 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 95445 ZIP code area.

New Patients Visit Costs *

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

  • Average New Patient Price $90.32
  • Minimum New Patient Price $58.87
  • Maximum New Patient Price $176.6
  • Average New Patient Copayment $22.58
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.15

Established Patients Visit Costs *

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

  • Average Established Patient Price $73.16
  • Minimum Established Patient Price $19.28
  • Maximum Established Patient Price $144.6
  • Average Established Patient Copayment $18.29
  • Minimum Established Patient Copayment $4.82
  • Maximum Established Patient Copayment $36.15

* 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982808119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621601612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 6 + 0 + 1 + 6 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1982808119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982808119, enumerated as an "individual" on June 12, 2007.

The provider is located at 38460 S. HIGHWAY ONE GUALALA, CA 95445 and the phone number is (707) 884-3738.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.