ILLINOIS DENTAL PROVIDERS (TINLEY PARK), LTD.
NPI 1508837709
Dentist, Orthodontics And Dentofacial Orthopedics in Tinley Park,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 27, 2006

Contact Information

15909 Harlem Ave
Tinley Park,
Post Code: 60477
Phone: (708) 429-0915
Fax: (216) 584-1061

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Illinois Dental Providers (tinley Park), Ltd. in Tinley Park - Dentist, Orthodontics and Dentofacial Orthopedics

Illinois Dental Providers (tinley Park), Ltd. is a Dentist, Orthodontics and Dentofacial Orthopedics in Tinley Park, . Illinois Dental Providers (tinley Park), Ltd. practices all healthcare services and medical treatments related to Dentist, Orthodontics and Dentofacial Orthopedics. The NPI Number for Illinois Dental Providers (tinley Park), Ltd. is 1508837709. The last update date is 2018-02-05.

Illinois Dental Providers (tinley Park), Ltd.'s current location address is 15909 Harlem Ave, Tinley Park, . You can contact this provider via phone number (708) 429-0915 and fax number (216) 584-1061. The mailing address for Illinois Dental Providers (tinley Park), Ltd. is 15909 Harlem Ave, Tinley Park, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1508837709
Provider Legal Name
ILLINOIS DENTAL PROVIDERS (TINLEY PARK), LTD.
Other Organization Name
ILLINOIS DENTAL PROVIDERS (TINLEY PARK), LTD.
Other Name Type
-
Entity Type
Organization
Location Address
15909 Harlem Ave, Tinley Park,
Location Phone
(708) 429-0915
Location Fax
(216) 584-1061
Mailing Address
7160 Dallas Pkwy Ste 400, Plano, Texas(TX)
Mailing Phone
Mailing Fax
-
Enumeration Date
2006-01-27
Last Update Date
2018-02-05
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

Taxonomy Code
122300000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

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)
1 1223X0400X Orthodontics and Dentofacial Orthopedic Dentist

Dentist, Orthodontics and Dentofacial Orthopedics

()
2 1223E0200X Endodontist

Dentist, Endodontics

()
3 1223G0001X General Practice Dentistry

Dentist, General Practice

()
4 1223P0221X Pediatric Dentist

Dentist, Pediatric Dentistry

()
5 1223P0300X Periodontist

Dentist, Periodontics

()
6 1223P0700X Prosthodontist

Dentist, Prosthodontics

()

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

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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.
1508837709
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081631470
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 25081631470
2 + 5 + 0 + 8 + 1 + 6 + 3 + 1 + 4 + 7 + 0 + 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 = 9 9

The NPI number 1508837709 is valid because the calculated check digit 9 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
1023011079 ADVANTAGE HOME HEALTH CARE, INC.
Organization
Home Health 425 E. US RT. 6
MORRIS, Illinois (IL)
815-467-1905
1487657433 PEKIN MRI, LLC
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1043213093 HOME I V SPECIALISTS INC
HOME IV SPECIALISTS INC
Organization
Durable Medical Equipment & Medical Supplies 200 S MAIN ST
JONESBORO, Arkansas (AR)
870-972-1677
1417950437 ILLINI OPEN MRI, LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
SPRINGFIELD, Illinois (IL)
217-528-7541