MENIFEE DENTAL GROUP
NPI 1053551317
Dentist - General Practice in Sun City, CA

NPI Status: Active since February 26, 2009

Contact Information

29950 HAUN RD
STE 302
SUN CITY, CA
ZIP 92586
Phone: (951) 679-1667
Fax: (951) 679-8664

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  • Organization
  • Dentist
  • General Practice
  • CLIA Number: 05D2287683
  • CLIA Cert. Type: Other - DENTAL PRACTICE
  • CLIA Exp. Date: 08-15-2025

About MENIFEE DENTAL GROUP

This page provides the complete NPI Profile along with additional information for Menifee Dental Group, a provider established in Sun City, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053551317 assigned on February 2009. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Menifee Dental Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Menifee Dental Group. The authorized official of this NPI record is Dr. Carolyn G Ghazal Dds (Owner Doctor)

NPI
1053551317
Provider Legal Name
CAROLYN GHAZAL, D.D.S., INC
Other Organization Name
MENIFEE DENTAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
29950 HAUN RD STE 302 SUN CITY, CA 92586
Location Phone
(951) 679-1667
Location Fax
(951) 679-8664
Mailing Address
2860 MICHELLE 2ND FLOOR IRVINE, CA 92606
Mailing Phone
(714) 368-2077
Mailing Fax
(951) 679-8664
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2009
Last Update Date
02-26-2009
Code Navigator

A dentist like Menifee Dental Group 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
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CAROLYN G GHAZAL DDS

Authorized Official Title
OWNER DOCTOR
Authorized Official Phone
(951) 679-1667

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2287683
Facility Type
Other - DENTAL PRACTICE
Certificate Effective Date
August 16, 2023
Certificate Expiration Date
August 15, 2025
Laboratory Director
ASHLYN GHAZAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Menifee Dental Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for MENIFEE DENTAL GROUP

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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.
1053551317
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20103105232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 0 + 5 + 2 + 3 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1053551317 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295821700DR. JAMES S WEE DDS
Individual
Dentist (General Practice)29950 HAUN RD STE. 302
SUN CITY, CA 92586
(951) 679-1667
1710048939DR. ERIC MATTHEW FENNEMA O.D.
Individual
Optometrist29950 HAUN RD SUITE 206
SUN CITY, CA 92586
(951) 679-0545
1730349804GHAZAL DENTAL CORPORATION
Organization
Dentist (General Practice)29950 HAUN RD 302
SUN CITY, CA 92586
(951) 679-1667
1659764736RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP
Organization
Specialist29950 HAUN RD SUITE 202
MENIFEE, CA 92586
(951) 679-1800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053551317, enumerated in the NPI registry as an "organization" on February 26, 2009

The provider is located at 29950 Haun Rd Ste 302 Sun City, Ca 92586 and the phone number is (951) 679-1667

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider's CLIA number is 05D2287683 for a "other - dental practice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on February 26, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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