ELDER CREEK DENTAL GROUP
NPI 1174761522
Dentist - General Practice in Sacramento, CA
NPI Status: Active since January 22, 2009
Contact Information
4730 47TH AVE
SACRAMENTO, CA
ZIP 95824
Phone: (916) 391-0682
Fax: (916) 391-7059
- Organization
- Dentist
- General Practice
About ELDER CREEK DENTAL GROUP
This page provides the complete NPI Profile along with additional information for Elder Creek Dental Group, 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 1174761522 assigned on January 2009. The practitioner's primary taxonomy code is 1223G0001X with license number 53231 (CA). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Elder Creek Dental Group. The authorized official of this NPI record is Dr. Louis Min Keun Kim Dds (President)
- NPI
- 1174761522
- Provider Legal Name
- LOUIS KIM DDS INC.
- Other Organization Name
- ELDER CREEK DENTAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4730 47TH AVE SACRAMENTO, CA 95824
- Location Phone
- (916) 391-0682
- Location Fax
- (916) 391-7059
- Mailing Address
- 4730 47TH AVE SACRAMENTO, CA 95824
- Mailing Phone
- (916) 391-0682
- Mailing Fax
- (916) 391-7059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-22-2009
- Last Update Date
- 01-22-2009
- Code Navigator
A dentist like Elder Creek Dental Group 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.
- 53231
- 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.
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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 | 7 | 4 | 7 | 6 | 1 | 5 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 14 | 4 | 14 | 6 | 2 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 4 + 4 + 1 + 4 + 6 + 2 + 5 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1174761522 is valid because the calculated check digit 2 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 Therapist | 4730 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 Coordinator | 4730 47TH AVE SACRAMENTO, CA 95824 (916) 391-6694 |
| 1154512747 | ELDER CREEK DENTAL Organization | Dentist (General Practice) | 4730 47TH AVE SACRAMENTO, CA 95824 (916) 391-0682 |
| 1841489093 | CHRISTINE MENDIOLA Individual | Counselor (Mental Health) | 4730 47TH AVE SUITE 300 SACRAMENTO, CA 95824 (916) 391-6691 |
| 1184805087 | CATHERINE MOMOH Individual | Counselor | 4730 47TH AVE SUITE 300 SACRAMENTO, CA 95824 (916) 391-6694 |
| 1932373990 | ERWIN ROGER OZOA Individual | Physician Assistant | 4730 47TH AVE SACRAMENTO, CA 95824 (916) 391-2229 |
| 1669559860 | TURNING 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 1174761522, enumerated in the NPI registry as an "organization" on January 22, 2009
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 January 22, 2009. 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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