AMERICAN DENTAL EXCELLENCE
NPI 1164891545
Preferred Provider Organization in Westminster, CO

NPI Status: Active since September 16, 2015

Contact Information

905 W 124TH AVE STE 130
WESTMINSTER, CO
ZIP 80234
Phone: (303) 920-4900
Fax: (303) 920-4823

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  • Preferred Provider Organization

About AMERICAN DENTAL EXCELLENCE

This page provides the complete NPI Profile along with additional information for American Dental Excellence, a provider established in Westminster, Colorado operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1164891545 assigned on September 2015. The practitioner's primary taxonomy code is 305R00000X with license number 7878 (CO). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Kenneth Jeffery Polke D.d.s (Dentist)

NPI
1164891545
Provider Name
AMERICAN DENTAL EXCELLENCE
Entity Type
Organization
Location Address
905 W 124TH AVE STE 130 WESTMINSTER, CO 80234
Location Phone
(303) 920-4900
Location Fax
(303) 920-4823
Mailing Address
905 W 124TH AVE., SUITE #130 WESTMINSTER, CO 80234
Mailing Phone
(303) 920-4900
Mailing Fax
(303) 920-4823
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2015
Last Update Date
09-16-2015
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
7878
License State
CO
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

DR. KENNETH JEFFERY POLKE D.D.S

Authorized Official Title
DENTIST
Authorized Official Phone
(303) 920-4900

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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.
1164891545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124169258
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 6 + 9 + 2 + 5 + 8 + 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 1164891545 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
1003267261DR. STEVEN HUTT D.D.S.
Individual
Dentist905 W 124TH AVE STE 130
WESTMINSTER, CO 80234
(303) 920-4900
1689824674DR. JORGE IVAN ROJAS DDS
Individual
Dentist (General Practice)905 W 124TH AVE STE 130
WESTMINSTER, CO 80234
(303) 290-4900
1851938872JORGE ROJAS DDS PLLC
Organization
Dentist (Oral and Maxillofacial Surgery)905 W 124TH AVE STE 130
WESTMINSTER, CO 80234
(303) 290-4900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164891545, enumerated in the NPI registry as an "organization" on September 16, 2015

The provider is located at 905 W 124th Ave Ste 130 Westminster, Co 80234 and the phone number is (303) 920-4900

This medical organization specializes in Preferred Provider Organization with taxonomy code 305R00000X

This NPI record was last updated on September 16, 2015. 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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