ICP TELEDENTISTRY
NPI 1225771108
Dentist - Dental Public Health in Portland, OR

NPI Status: Active since April 18, 2022

Contact Information

3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR
ZIP 97214
Phone: (425) 494-0883

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  • Organization
  • Dentist
  • Dental Public Health

About ICP TELEDENTISTRY

This page provides the complete NPI Profile along with additional information for Icp Teledentistry, a provider established in Portland, Oregon operating as a Dentist, focusing in dental public health . The healthcare provider is registered in the NPI registry with number 1225771108 assigned on April 2022. The practitioner's primary taxonomy code is 1223D0001X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Icp Teledentistry operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Chandan Sharma (Hod)

NPI
1225771108
Provider Name
ICP TELEDENTISTRY
Entity Type
Organization
Location Address
3439 SE HAWTHORNE BLVD # 906 PORTLAND, OR 97214
Location Phone
(425) 494-0883
Mailing Address
3439 SE HAWTHORNE BLVD # 906 PORTLAND, OR 97214
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-18-2022
Last Update Date
04-18-2022
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A dentist like Icp Teledentistry 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 Dental Public Health

Taxonomy Code
1223D0001X
Type
Dental Providers
Taxonomy Description
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1124Q00000XDental Providers

Dental Hygienist

 
2125J00000XDental Providers

Dental Therapist

 
3126800000XDental Providers

Dental Assistant

 
4261QD0000XAmbulatory Health Care Facilities

Clinic/Center
Dental

 
5261QS0112XAmbulatory Health Care Facilities

Clinic/Center
Oral and Maxillofacial Surgery

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. CHANDAN SHARMA

Authorized Official Title
HOD
Authorized Official Phone
(425) 494-0883

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
006880293OTHER (01)LADL

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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.
1225771108
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245147210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 4 + 7 + 2 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1225771108 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407490170HOLISTIC VIRTUAL SERVICES
Organization
Registered Nurse (General Practice)3439 SE HAWTHORNE BLVD # 906
PORTLAND, OR 97214
(971) 999-2182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225771108, enumerated in the NPI registry as an "organization" on April 18, 2022

The provider is located at 3439 Se Hawthorne Blvd # 906 Portland, Or 97214 and the phone number is (425) 494-0883

This medical organization specializes in Dentist with taxonomy code 1223D0001X with a focus in Dental Public Health

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

This NPI record was last updated on April 18, 2022. 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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