MOBILE OUTREACH ALLIANCE
NPI 1265067425
Dental Hygienist in Arvada, CO

NPI Status: Active since March 09, 2020

Contact Information

8422 W 78TH CIR
ARVADA, CO
ZIP 80005
Phone: (303) 506-4698

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  • Organization
  • Dental Hygienist
  • CLIA Number: 06D2225876
  • CLIA Cert. Type: Other - DENTAL
  • CLIA Exp. Date: 05-24-2027

About MOBILE OUTREACH ALLIANCE

This page provides the complete NPI Profile along with additional information for Mobile Outreach Alliance, a provider established in Arvada, Colorado operating as a Dental Hygienist. The healthcare provider is registered in the NPI registry with number 1265067425 assigned on March 2020. The practitioner's primary taxonomy code is 124Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Mobile Outreach Alliance 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 Olga Romanovna Kogan (Ceo)

NPI
1265067425
Provider Name
MOBILE OUTREACH ALLIANCE
Entity Type
Organization
Location Address
8422 W 78TH CIR ARVADA, CO 80005
Location Phone
(303) 506-4698
Mailing Address
8422 W 78TH CIR ARVADA, CO 80005
Mailing Phone
(303) 506-4698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2020
Last Update Date
03-09-2020
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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

Dental Hygienist

Taxonomy Code
124Q00000X
Type
Dental Providers
Taxonomy Description
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

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)
11223D0001XDental Providers

Dentist
Dental Public Health

 
2251K00000XAgencies

Public Health or Welfare

 

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.

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

OLGA ROMANOVNA KOGAN

Authorized Official Title
CEO
Authorized Official Phone
(303) 506-4698

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
06D2225876
Facility Type
Other - DENTAL
Certificate Effective Date
May 25, 2025
Certificate Expiration Date
May 24, 2027
Laboratory Director
OLGA KOGAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mobile Outreach Alliance 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 MOBILE OUTREACH ALLIANCE

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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.
1265067425
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22125061444
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 0 + 6 + 1 + 4 + 4 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1265067425 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659744589SENIOR SMILES
Organization
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1437716149 BRENDEE BREE STERBICK RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1629615711 CELIA GRAHAM MURPHY RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 591-8882
1295352367 AMBER MISLEH RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1255046595 LISA L ROBLES RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1649978966MRS. LYNETTE M HOLLAND RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1568893345 OLGA KOGAN RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(303) 506-4698
1932953924 LEONA DIMAS RDH
Individual
Dental Hygienist8422 W 78TH CIR
ARVADA, CO 80005
(970) 799-7795

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265067425, enumerated in the NPI registry as an "organization" on March 09, 2020

The provider is located at 8422 W 78th Cir Arvada, Co 80005 and the phone number is (303) 506-4698

This medical organization specializes in Dental Hygienist with taxonomy code 124Q00000X

The provider's CLIA number is 06D2225876 for a "other - dental" 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 March 09, 2020. 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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