CORNELL FAMILY DENTAL
NPI 1063726644
Clinic/Center in Portland, OR
NPI Status: Active since August 05, 2010
Contact Information
12887 NW CORNELL RD
STE A
PORTLAND, OR
ZIP 97229
Phone: (503) 646-9687
Fax: (503) 619-0066
- Organization
- Clinic/Center
About CORNELL FAMILY DENTAL
This page provides the complete NPI Profile along with additional information for Cornell Family Dental, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1063726644 assigned on August 2010. The practitioner's primary taxonomy code is 261Q00000X with license number 5171 (OR). The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's other name is Cornell Family Dental. The authorized official of this NPI record is Dr. Randall N Freed D.m.d. (Owner/dentist)
- NPI
- 1063726644
- Provider Legal Name
- RANDALL N FREED, D.M.D.
- Other Organization Name
- CORNELL FAMILY DENTAL
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 12887 NW CORNELL RD STE A PORTLAND, OR 97229
- Location Phone
- (503) 646-9687
- Location Fax
- (503) 619-0066
- Mailing Address
- 12887 NW CORNELL RD STE A PORTLAND, OR 97229
- Mailing Phone
- (503) 646-9687
- Mailing Fax
- (503) 619-0066
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2010
- Last Update Date
- 08-05-2010
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 5171
- License State
- OR
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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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. | |||||||||
| 1 | 0 | 6 | 3 | 7 | 2 | 6 | 6 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 14 | 2 | 12 | 6 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 4 + 2 + 1 + 2 + 6 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063726644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639169121 | DR. BARRY ORRICK EVANS DMD Individual | Dentist | 12887 NW CORNELL RD PORTLAND, OR 97229 (503) 644-3105 |
| 1184636110 | RANDALL N FREED D.M.D., F.A.G.D. Individual | Dentist (General Practice) | 12887 NW CORNELL RD PORTLAND, OR 97229 (503) 646-9687 |
| 1093139651 | MARIA FEHER RDH Individual | Dental Hygienist | 12887 NW CORNELL RD PORTLAND, OR 97229 (503) 644-3105 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063726644, enumerated in the NPI registry as an "organization" on August 05, 2010
The provider is located at 12887 Nw Cornell Rd Ste A Portland, Or 97229 and the phone number is (503) 646-9687
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
This NPI record was last updated on August 05, 2010. 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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