GARY ROBERT JERNBERG D.D.S., M.S.D.
NPI 1164420675
Dentist, Periodontics in Mankato,


Quality Rating: 100 out of 100 score

NPI Status: Active since July 8, 2005

Contact Information

99 Navaho Ave
Mankato,
Post Code: 56001
Phone: (507) 345-7537
Fax: (507) 345-7538

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Gary Robert Jernberg D.d.s., M.s.d. in Mankato - Dentist, Periodontics

Gary Robert Jernberg D.d.s., M.s.d. is a Dentist, Periodontics in Mankato, . Gary Robert Jernberg D.d.s., M.s.d. practices all healthcare services and medical treatments related to Dentist, Periodontics. The NPI Number for Gary Robert Jernberg D.d.s., M.s.d. is 1164420675. The last update date is 2011-01-28.

Gary Robert Jernberg D.d.s., M.s.d.'s current location address is 99 Navaho Ave, Mankato, . You can contact this provider via phone number (507) 345-7537 and fax number (507) 345-7538. The mailing address for Gary Robert Jernberg D.d.s., M.s.d. is 99 Navaho Ave, Mankato, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1164420675
Provider Name
GARY ROBERT JERNBERG D.D.S., M.S.D.
Gender
Male
Entity Type
Individual
Location Address
99 Navaho Ave, Mankato,
Location Phone
(507) 345-7537
Location Fax
(507) 345-7538
Mailing Address
99 Navaho Ave, Mankato, Minnesota(MN)
Mailing Phone
507-345-7537
Mailing Fax
507-345-7538
Enumeration Date
2005-07-08
Last Update Date
2011-01-28
Code Navigator

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, Periodontics

Taxonomy Code
1223P0300X
Type
-
License No.
8671
License State
Minnesota (MN)
Taxonomy Description
-

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
1B005JE Other (non-Medicare) (01) Minnesota (MN) BCBS of MN
434218600 MEDICAID (05) Minnesota (MN)
839878 Other (non-Medicare) (01) Pennsylvania (PA) United Concordia Military

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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.
1164420675
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124820614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21124820614
2 + 1 + 1 + 2 + 4 + 8 + 2 + 0 + 6 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 5 5

The NPI number 1164420675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920147 RIVER OAKS HOME HEALTH CARE LLC
Organization
Home Health 900 3RD ST
INTERNATIONAL FALLS, Minnesota (MN)
218-283-3031
1073516266 JOSEPH MICHAEL KLICK
Individual
Nurse Anesthetist, Certified Registered 717 S STATE ST
FAIRMONT, Minnesota (MN)
507-235-3939
1043213218 MICHAEL JOSEPH BAWEK
Individual
Chiropractor 10532 DREW AVE S
BLOOMINGTON, Minnesota (MN)
952-884-1910
1063415263 NATURAL LIVING, INC
BIOSCRIP PHARMACY
Organization
Durable Medical Equipment & Medical Supplies 10050 CROSSTOWN CIR
EDEN PRAIRIE, Minnesota (MN)
800-753-5995
1144223306 TIMOTHY B DONOVAN
Individual
Radiology, Diagnostic Radiology 11995 SINGLETREE LN STE 500
EDEN PRAIRIE, Minnesota (MN)
952-595-1301