Organization provider

WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE

Oral and Maxillofacial Surgery (Dentist) Medicare enrolled

WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104584515, based in Shreveport, LA. It is classified under Oral and Maxillofacial Surgery (Dentist).

Getting there

The practice address on file is 2508 BERT KOUNS INDUSTRIAL LOOP STE 410, Shreveport, LA 71118. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2508 BERT KOUNS INDUSTRIAL LOOP STE 410, Shreveport, LA 71118 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
6002203767

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104584515 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 2, 2021
Last updatedMar 4, 2026
StatusActive
Practice address 2508 BERT KOUNS INDUSTRIAL LOOP STE 410
Shreveport, LA 71118
(318) 716-4939
This record was updated on Mar 4, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1104584515 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 5 8 4 5 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 1 8 8 5 2

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104584515?
NPI 1104584515 is the National Provider Identifier assigned to WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE in Shreveport, LA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
How do I contact WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE?
The phone number on file with NPPES is (318) 716-4939, last updated Mar 4, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does WK ORAL AND MAXILLOFACIAL SURGERY INSTITUTE accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104584515 a valid number?
Yes. 1104584515 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.