DENTAL STUDIO ON 30TH STREET PC
NPI 1093111270
Dentist - General Practice in Farmington, NM

NPI Status: Active since November 14, 2014

Contact Information

2401 E 30TH ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-8858

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  • Organization
  • Dentist
  • General Practice

About DENTAL STUDIO ON 30TH STREET PC

This page provides the complete NPI Profile along with additional information for Dental Studio On 30th Street Pc, a provider established in Farmington, New Mexico operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1093111270 assigned on November 2014. The practitioner's primary taxonomy code is 1223G0001X with license number DD3399 (NM). The provider is registered as an organization and their NPI record was last updated 11 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 Joseph Wilson Dmd, Msd, Llc (Owner)

NPI
1093111270
Provider Name
DENTAL STUDIO ON 30TH STREET PC
Entity Type
Organization
Location Address
2401 E 30TH ST FARMINGTON, NM 87401
Location Phone
(505) 325-8858
Mailing Address
2401 E 30TH ST FARMINGTON, NM 87401
Mailing Phone
(505) 325-8858
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-14-2014
Last Update Date
11-14-2014
Code Navigator

A dentist like Dental Studio On 30th Street Pc 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.
DD3399
License State
NM
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 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

JOSEPH WILSON DMD, MSD, LLC

Authorized Official Title
OWNER
Authorized Official Phone
(505) 360-9592

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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.
1093111270
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183212214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 2 + 1 + 2 + 2 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1093111270 is valid because the calculated check digit 0 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
1710972567JOHN MCNEILL DDS PC
Organization
Dentist (Oral and Maxillofacial Surgery)2401 E 30TH ST BLDG 2
FARMINGTON, NM 87401
(505) 326-2611
1285746347DR. DENNIS RAYMOND MILLER DMD MS
Individual
Dentist (Periodontics)2401 E 30TH ST BLDG 1
FARMINGTON, NM 87401
(505) 326-6567

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093111270, enumerated in the NPI registry as an "organization" on November 14, 2014

The provider is located at 2401 E 30th St Farmington, Nm 87401 and the phone number is (505) 325-8858

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

This NPI record was last updated on November 14, 2014. 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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