AUMSVILLE FAMILY DENTISTRY LLC
NPI 1114665890
Clinic/Center - Dental in Aumsville, OR
NPI Status: Active since May 23, 2022
Contact Information
180 MAIN ST
AUMSVILLE, OR
ZIP 97325
Phone: (503) 877-1594
Fax: (503) 448-2560
- Organization
- Clinic/Center
- Dental
- Accepts Insurance
- CLIA Number: 38D2054043
- CLIA Cert. Type: Other - RFPD
- CLIA Exp. Date: 02-11-2027
About AUMSVILLE FAMILY DENTISTRY LLC
This page provides the complete NPI Profile along with additional information for Aumsville Family Dentistry Llc, a provider established in Aumsville, Oregon operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1114665890 assigned on May 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Justin Alton Anderson Dds (Dentist/owner)
- NPI
- 1114665890
- Provider Name
- AUMSVILLE FAMILY DENTISTRY LLC
- Entity Type
- Organization
- Location Address
- 180 MAIN ST AUMSVILLE, OR 97325
- Location Phone
- (503) 877-1594
- Location Fax
- (503) 448-2560
- Mailing Address
- 1076 GINGER AVE SE SALEM, OR 97306
- Mailing Phone
- (503) 437-5075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-23-2022
- Last Update Date
- 05-23-2022
- Code Navigator
Location Map
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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1609485101 | OTHER (01) | OR | NPI |
| 1649684382 | OTHER (01) | OR | NPI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2054043
- Facility Type
- Other - RFPD
- Certificate Effective Date
- February 12, 2025
- Certificate Expiration Date
- February 11, 2027
- Laboratory Director
- BRAD MCKENZIE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Aumsville Family Dentistry Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for AUMSVILLE FAMILY DENTISTRY LLC
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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. | |||||||||
| 1 | 1 | 1 | 4 | 6 | 6 | 5 | 8 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 12 | 6 | 10 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 2 + 6 + 1 + 0 + 8 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1114665890 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 |
|---|---|---|---|
| 1245547710 | HUNSAKER DENTAL Organization | Dentist (General Practice) | 180 MAIN ST AUMSVILLE, OR 97325 (503) 448-2555 |
| 1306482823 | KIRSTEN-NIKKI CHRISTINE ROCHEFORT EPDH, RDH, BSDH Individual | Dental Hygienist | 180 MAIN ST AUMSVILLE, OR 97325 (503) 448-2555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114665890, enumerated in the NPI registry as an "organization" on May 23, 2022
The provider is located at 180 Main St Aumsville, Or 97325 and the phone number is (503) 877-1594
This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental
The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 38D2054043 for a "other - rfpd" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 23, 2022. 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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