CEDAR CREEK DENTAL
NPI 1104185560
Clinic/Center - Dental in Portland, OR

NPI Status: Active since May 04, 2012

Contact Information

11786 SW BARNES RD STE 360
PORTLAND, OR
ZIP 97225
Phone: (503) 646-1811
Fax: (503) 924-1698

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  • Organization
  • Clinic/Center
  • Dental

About CEDAR CREEK DENTAL

This page provides the complete NPI Profile along with additional information for Cedar Creek Dental, a provider established in Portland, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1104185560 assigned on May 2012. The practitioner's primary taxonomy code is 261QD0000X with license number 5228 (OR). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Cedar Creek Dental. The authorized official of this NPI record is Cindy Knutsen (Office Admin)

NPI
1104185560
Provider Legal Name
CARL B. VORHIES, DDS
Other Organization Name
CEDAR CREEK DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11786 SW BARNES RD STE 360 PORTLAND, OR 97225
Location Phone
(503) 646-1811
Location Fax
(503) 924-1698
Mailing Address
11786 SW BARNES RD STE 360 PORTLAND, OR 97225
Mailing Phone
(503) 646-1811
Mailing Fax
(503) 924-1698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2012
Last Update Date
05-04-2012
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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.
5228
License State
OR

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

CINDY KNUTSEN

Authorized Official Title
OFFICE ADMIN
Authorized Official Phone
(503) 646-1811

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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.
1104185560
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21042810512
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 8 + 1 + 0 + 5 + 1 + 2 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104185560 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104185560, enumerated in the NPI registry as an "organization" on May 04, 2012

The provider is located at 11786 Sw Barnes Rd Ste 360 Portland, Or 97225 and the phone number is (503) 646-1811

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

This NPI record was last updated on May 04, 2012. 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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