ELEVEN ELEVEN DENTAL
NPI 1073763041
Clinic/Center - Dental in Port Angeles, WA

NPI Status: Active since September 25, 2008

Contact Information

1111 COLUMBIA ST
PORT ANGELES, WA
ZIP 98362
Phone: (360) 457-3183

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  • Organization
  • Clinic/Center
  • Dental

About ELEVEN ELEVEN DENTAL

This page provides the complete NPI Profile along with additional information for Eleven Eleven Dental, a provider established in Port Angeles, Washington operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1073763041 assigned on September 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 602789281 (WA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Gregory L Birch Dds (President/owner)

NPI
1073763041
Provider Name
ELEVEN ELEVEN DENTAL
Entity Type
Organization
Location Address
1111 COLUMBIA ST PORT ANGELES, WA 98362
Location Phone
(360) 457-3183
Mailing Address
1111 COLUMBIA ST PORT ANGELES, WA 98362
Mailing Phone
(360) 457-3183
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-25-2008
Last Update Date
09-25-2008
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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.
602789281
License State
WA

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. GREGORY L BIRCH DDS

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(360) 457-3183

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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.
1073763041
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143146608
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 4 + 6 + 6 + 0 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1073763041 is valid because the calculated check digit 1 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
1871652750DR. GREGORY L BIRCH DDS
Individual
Dentist1111 COLUMBIA ST
PORT ANGELES, WA 98362
(360) 457-3183
1780110395CARLILE BIRCH NOBLE CRAMER PLLC
Organization
Clinic/Center (Dental)1111 COLUMBIA ST
PORT ANGELES, WA 98362
(360) 357-4500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073763041, enumerated in the NPI registry as an "organization" on September 25, 2008

The provider is located at 1111 Columbia St Port Angeles, Wa 98362 and the phone number is (360) 457-3183

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

This NPI record was last updated on September 25, 2008. 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.