TAILWIND PEDIATRIC DENTISTRY
NPI 1063752483
Clinic/Center - Dental in Richfield, MN

NPI Status: Active since February 21, 2013

Contact Information

6945 PENN AVE S
SUITE 102
RICHFIELD, MN
ZIP 55423
Phone: (612) 866-4041

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  • Organization
  • Clinic/Center
  • Dental

About TAILWIND PEDIATRIC DENTISTRY

This page provides the complete NPI Profile along with additional information for Tailwind Pediatric Dentistry, a provider established in Richfield, Minnesota operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1063752483 assigned on February 2013. The practitioner's primary taxonomy code is 261QD0000X with license number D12818 (MN). The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Tailwind Pediatric Dentistry. The authorized official of this NPI record is Taylor J Stephens D.d.s. (President/owner)

NPI
1063752483
Provider Legal Name
RICHFIELD PEDIATRIC DENTISTRY, P.A.
Other Organization Name
TAILWIND PEDIATRIC DENTISTRY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6945 PENN AVE S SUITE 102 RICHFIELD, MN 55423
Location Phone
(612) 866-4041
Mailing Address
250 CENTRAL AVE N SUITE 113 WAYZATA, MN 55391
Mailing Phone
(952) 475-3135
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-21-2013
Last Update Date
01-14-2014
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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 Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
D12818
License State
MN

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

TAYLOR J STEPHENS D.D.S.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(952) 475-3135

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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.
1063752483
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231454416
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 + 5 + 4 + 4 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1063752483 is valid because the calculated check digit 3 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
1700869591MR. DONALD ALLEN JOHNSON DDS
Individual
Dentist6945 PENN AVE S
RICHFIELD, MN 55423
(612) 866-2233
1659585891 JOANN CHRISTINE BORAAS DDS, MS
Individual
Dentist (Pediatric Dentistry)6945 PENN AVE S SUITE 102
RICHFIELD, MN 55423
(612) 866-4041
1578546552DR. JEFFREY E ONEIL DDS
Individual
Dentist6945 PENN AVE S STE 101
RICHFIELD, MN 55423
(612) 866-2233
1932313194JOANN C BORAAS, DDS, PA
Organization
Dentist (Pediatric Dentistry)6945 PENN AVE S SUITE 102
RICHFIELD, MN 55423
(612) 866-4041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063752483, enumerated in the NPI registry as an "organization" on February 21, 2013

The provider is located at 6945 Penn Ave S Suite 102 Richfield, Mn 55423 and the phone number is (612) 866-4041

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on February 21, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.