KEYSTONE WAUKESHA LLC
NPI 1124868575
Clinic/Center - Dental in Waukesha, WI

NPI Status: Active since May 31, 2024

Contact Information

1700 CORAL DR
WAUKESHA, WI
ZIP 53186
Phone: (262) 650-3000

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  • Organization
  • Clinic/Center
  • Dental

About KEYSTONE WAUKESHA LLC

This page provides the complete NPI Profile along with additional information for Keystone Waukesha Llc, a provider established in Waukesha, Wisconsin operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1124868575 assigned on May 2024. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Tammy Kevin (Vice President)

NPI
1124868575
Provider Name
KEYSTONE WAUKESHA LLC
Entity Type
Organization
Location Address
1700 CORAL DR WAUKESHA, WI 53186
Location Phone
(262) 650-3000
Mailing Address
PO BOX 180467 DELAFIELD, WI 53018
Mailing Phone
(262) 873-0510
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2024
Last Update Date
05-31-2024
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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

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

TAMMY KEVIN

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(262) 873-0510

Reviews for KEYSTONE WAUKESHA 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.
1124868575
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214416616514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 6 + 1 + 6 + 5 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1124868575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902215189BADGER MEDICAL GROUP S.C.
Organization
Clinic/Center (Urgent Care)1700 CORAL DR
WAUKESHA, WI 53186
(262) 232-6200
1477952687PROVEN DENTAL LLC
Organization
Clinic/Center (Dental)1700 CORAL DR
WAUKESHA, WI 53186
(262) 650-3000
1770322026 JORDAN BOEHLKE
Individual
Dentist1700 CORAL DR
WAUKESHA, WI 53186
(262) 650-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124868575, enumerated in the NPI registry as an "organization" on May 31, 2024

The provider is located at 1700 Coral Dr Waukesha, Wi 53186 and the phone number is (262) 650-3000

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

This NPI record was last updated on May 31, 2024. 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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