CASCADE FAMILY DENTAL
NPI 1184282170
Dentist in Cascade, ID

NPI Status: Active since June 04, 2019

Contact Information

839 S MAIN ST
CASCADE, ID
ZIP 83611
Phone: (208) 382-8200

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  • Organization
  • Dentist
  • Accepts Insurance
  • CLIA Number: 13D2051293
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-16-2026

About CASCADE FAMILY DENTAL

This page provides the complete NPI Profile along with additional information for Cascade Family Dental, a provider established in Cascade, Idaho operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1184282170 assigned on June 2019. The practitioner's primary taxonomy code is 122300000X. The provider is registered as an organization and their NPI record was last updated 6 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 Richard Dee Stoker Dmd (President)

NPI
1184282170
Provider Name
CASCADE FAMILY DENTAL
Entity Type
Organization
Location Address
839 S MAIN ST CASCADE, ID 83611
Location Phone
(208) 382-8200
Mailing Address
262 N 4232 E RIGBY, ID 83442
Mailing Phone
(208) 589-9107
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2019
Last Update Date
06-04-2019
Code Navigator

A dentist like Cascade Family 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.

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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

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
Taxonomy Description
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

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.

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

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

RICHARD DEE STOKER DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(208) 589-9107

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
13D2051293
Facility Type
Rural Health Clinic
Certificate Effective Date
December 17, 2024
Certificate Expiration Date
December 16, 2026
Laboratory Director
RONALD ELLSWORTH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cascade Family Dental 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 CASCADE FAMILY DENTAL

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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.
1184282170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164484114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 4 + 8 + 4 + 1 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1184282170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184282170, enumerated in the NPI registry as an "organization" on June 04, 2019

The provider is located at 839 S Main St Cascade, Id 83611 and the phone number is (208) 382-8200

This medical organization specializes in Dentist with taxonomy code 122300000X

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 13D2051293 for a "rural health clinic" 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 June 04, 2019. 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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