MAIN STREET DENTAL OF SALT LAKE CITY
NPI 1245607068
Point of Service in Salt Lake City, UT

NPI Status: Active since August 27, 2015

Contact Information

3195 S MAIN ST STE 201
SALT LAKE CITY, UT
ZIP 84115
Phone: (801) 792-6033

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  • Organization
  • Point of Service
  • Accepts Insurance

About MAIN STREET DENTAL OF SALT LAKE CITY

This page provides the complete NPI Profile along with additional information for Main Street Dental Of Salt Lake City, a provider established in Salt Lake City, Utah operating as a Point Of Service. The healthcare provider is registered in the NPI registry with number 1245607068 assigned on August 2015. The practitioner's primary taxonomy code is 305S00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's former legal business name is Main Street Dental Of Salt Lake City. The authorized official of this NPI record is Jennifer D Wilson (Manager/owner)

NPI
1245607068
Provider Legal Name
MAIN STREET DENTAL OF SALT LAKE CITY
Other Organization Name
MAIN STREET DENTAL OF SALT LAKE CITY
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3195 S MAIN ST STE 201 SALT LAKE CITY, UT 84115
Location Phone
(801) 792-6033
Mailing Address
7922 S GOLDENPOINTE WAY WEST JORDAN, UT 84088
Mailing Phone
(801) 792-6033
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-27-2015
Last Update Date
08-27-2015
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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

Point of Service

Taxonomy Code
305S00000X
Type
Managed Care Organizations
Taxonomy Description
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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

JENNIFER D WILSON

Authorized Official Title
MANAGER/OWNER
Authorized Official Phone
(801) 792-6033

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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.
1245607068
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
228512014012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 2 + 0 + 1 + 4 + 0 + 1 + 2 + 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 1245607068 is valid because the calculated check digit 8 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 1245607068, enumerated in the NPI registry as an "organization" on August 27, 2015

The provider is located at 3195 S Main St Ste 201 Salt Lake City, Ut 84115 and the phone number is (801) 792-6033

This medical organization specializes in Point of Service with taxonomy code 305S00000X

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.

This NPI record was last updated on August 27, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.