ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC
ORAL AND MAXILLOFACIAL SURGERY ASSO OF EAU CLAIRE SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1316954928, based in Altoona, WI. The organization lists 3 taxonomy classifications, with Oral & Maxillofacial Surgery (D.M.D.) recorded as primary.
Getting there
The practice address on file is 788 OAKLEAF WAY, Altoona, WI 54720. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4495-015 | WI | Oral & Maxillofacial Surgery (D.M.D.) primary |
| 4680-015 | WI | Oral & Maxillofacial Surgery (D.M.D.) |
| 5112-015 | WI | Oral & Maxillofacial Surgery (D.M.D.) |
| 5563-015 | WI | Oral & Maxillofacial Surgery (D.M.D.) |
| 6222-15 | WI | Endodontics |
| 4412-015 | WI | Endodontics |
This provider holds licence 4495-015 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1456355643
- Enrollment ID
- O20060830000344
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Oral & Maxillofacial Surgery covers
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. NUCC Health Care Provider Taxonomy, code 204E00000X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 4495-015 | WI | primary |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 4680-015 | WI | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 5112-015 | WI | |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 5563-015 | WI | |
| 1223E0200X | Endodontics Endodontics | — | — | |
| 1223E0200X | Endodontics Endodontics | 6222-15 | WI | |
| 1223E0200X | Endodontics Endodontics | 4412-015 | WI | |
| 1223S0112X | Oral and Maxillofacial Surgery (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.
| NPI | 1316954928 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 3, 2006 |
| Last updated | Jul 26, 2018 |
| Status | Active |
| Practice address |
788 OAKLEAF WAY Altoona, WI 54720 (715) 834-8414 Fax (715) 834-3557 |
| Mailing address |
1120 OAK RIDGE DRIVE Eau Claire, WI 54701 |
Number check
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 | 3 | 1 | 6 | 9 | 5 | 4 | 9 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 2 | 6 | 9 | 5 | 8 | 9 | 4 |
Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8
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.