ELDER CREEK DENTAL
NPI 1154512747
Dentist - General Practice in Sacramento, CA

NPI Status: Active since August 07, 2007

Contact Information

4730 47TH AVE
SACRAMENTO, CA
ZIP 95824
Phone: (916) 391-0682

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  • Organization
  • Dentist
  • General Practice

About ELDER CREEK DENTAL

This page provides the complete NPI Profile along with additional information for Elder Creek Dental, a provider established in Sacramento, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1154512747 assigned on August 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 18162 (CA). The provider is registered as an organization and their NPI record was last updated 18 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 Peter Thompson (Manager)

NPI
1154512747
Provider Name
ELDER CREEK DENTAL
Entity Type
Organization
Location Address
4730 47TH AVE SACRAMENTO, CA 95824
Location Phone
(916) 391-0682
Mailing Address
4730 47TH AVE SACRAMENTO, CA 95824
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-07-2007
Last Update Date
08-07-2007
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A dentist like Elder Creek Dental 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.

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

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
18162
License State
CA
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

PETER THOMPSON

Authorized Official Title
MANAGER
Authorized Official Phone
(916) 391-0682

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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.
1154512747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104101478
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 1 + 4 + 7 + 8 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1154512747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346352598 CYNTHIA SCHREIBER MFTI
Individual
Marriage & Family Therapist4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-6694
1992875603 LOUIS MIN KEUN KIM DDS
Individual
Dentist (General Practice)4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-0682
1326174376 PEDRO MIRABAL IV
Individual
Case Manager/Care Coordinator4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-6694
1841489093 CHRISTINE MENDIOLA
Individual
Counselor (Mental Health)4730 47TH AVE SUITE 300
SACRAMENTO, CA 95824
(916) 391-6691
1184805087 CATHERINE MOMOH
Individual
Counselor4730 47TH AVE SUITE 300
SACRAMENTO, CA 95824
(916) 391-6694
1932373990 ERWIN ROGER OZOA
Individual
Physician Assistant4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-2229
1174761522LOUIS KIM DDS INC.
Organization
Dentist (General Practice)4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-0682
1669559860TURNING POINT COMMUNITY PROGRAMS
Organization
Clinic/Center (Adult Mental Health)4730 47TH AVE
SACRAMENTO, CA 95824
(916) 391-6694

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154512747, enumerated in the NPI registry as an "organization" on August 07, 2007

The provider is located at 4730 47th Ave Sacramento, Ca 95824 and the phone number is (916) 391-0682

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

This NPI record was last updated on August 07, 2007. 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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