BELLA VISTA FAMILY DENTAL AT FIVE FORKS
NPI 1073016937
Dentist - General Practice in Simpsonville, SC

NPI Status: Active since March 16, 2018

Contact Information

2311 WOODRUFF RD
SIMPSONVILLE, SC
ZIP 29681
Phone: (864) 501-9800

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  • Organization
  • Dentist
  • General Practice

About BELLA VISTA FAMILY DENTAL AT FIVE FORKS

This page provides the complete NPI Profile along with additional information for Bella Vista Family Dental At Five Forks, a provider established in Simpsonville, South Carolina operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1073016937 assigned on March 2018. The practitioner's primary taxonomy code is 1223G0001X with license number 4377 (SC). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. John Kennedy Jr. Dmd (Owner)

NPI
1073016937
Provider Name
BELLA VISTA FAMILY DENTAL AT FIVE FORKS
Entity Type
Organization
Location Address
2311 WOODRUFF RD SIMPSONVILLE, SC 29681
Location Phone
(864) 501-9800
Mailing Address
PO BOX 31625 GREENVILLE, SC 29608
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-16-2018
Last Update Date
03-16-2018
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A dentist like Bella Vista Family Dental At Five Forks 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.

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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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
4377
License State
SC
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1122300000XDental Providers

Dentist

4377 (SC)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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. JOHN KENNEDY JR. DMD

Authorized Official Title
OWNER
Authorized Official Phone
(864) 501-0070

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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.
1073016937
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143011296
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 0 + 1 + 1 + 2 + 9 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1073016937 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588198154DR. CHRISTOPHER LEE MCKEE DMD
Individual
Dentist (General Practice)2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
(864) 501-9800
1861257560 ABIGAIL LEE DARLING DMD
Individual
Dentist2311 WOODRUFF RD
SIMPSONVILLE, SC 29681
(864) 501-9800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073016937, enumerated in the NPI registry as an "organization" on March 16, 2018

The provider is located at 2311 Woodruff Rd Simpsonville, Sc 29681 and the phone number is (864) 501-9800

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

This NPI record was last updated on March 16, 2018. 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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